MEDICARE: EMILY LEW MS, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1619676095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY LEW MS, ATC

Provider Business Mailing Address
First Line	:	8137 TRIPLEFIN WAY
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95757-6441
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 PACIFIC AVE
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95211-1003
Country	:	US
Telephone Number	:	209-946-2211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2023
Last Update Date	:	06/29/2024

Similar Medicare Providers

1679076400 — KASEY MILLER ROSS BCBA
Practice Location Address:

60 FERRY RD
STOCKTON, NJ
08559-1003

Practice Phone: 908-246-0448
Practice Fax:

1982288676 — OPENING MINDS, INC.
Practice Location Address:

6166 DILL CT
STOCKTON, CA
95215-1003

Practice Phone: 209-227-0544
Practice Fax:

1205644838 — KASSIDY KHALYANNAI CHHOUNG-SUN
Practice Location Address:

6166 DILL CT
STOCKTON, CA
95215-1003

Practice Phone: 209-616-7931
Practice Fax:

1174331714 — MELISSA HEIDEBCRECHT
Practice Location Address:

6166 DILL CT
STOCKTON, CA
95215-1003

Practice Phone: 209-616-7931
Practice Fax:

1891798880 — DR. PHILIP J GREGORY PHARMD
Practice Location Address:

3601 PACIFIC AVE
STOCKTON, CA
95211-0110

Practice Phone: 209-946-2374
Practice Fax:

1518963453 — MRS. VERONICA TOVAR BANDY PHARMD
Practice Location Address:

THOMAS J LONG SCHOOL OF PHARMACY & HEALTH SCIENCES , 751 BROOKSIDE ROAD
STOCKTON, CA
95211

Practice Phone: 209-946-2363
Practice Fax: 209-946-2410

Directions to “ EMILY LEW MS, ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.