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NPI Code Detail

MEDICARE: ALISON CHENEY LEWIS M.D.

MEDICARE: ALISON CHENEY LEWIS M.D.
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
1207R00000XInternal Medicine PhysicianC142752CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770674202
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON CHENEY LEWIS M.D.
Provider Business Mailing Address
First Line : 823 GATEWAY CENTER WAY
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-4541
Country : US
Telephone Number : 619-515-2300
Fax Number :
Provider Business Practice Location Address
First Line : 3420 COLLEGE AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92115-7134
Country : US
Telephone Number : 619-515-2445
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 12/09/2022

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Directions to “ ALISON CHENEY LEWIS M.D.” Practice Location

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