MEDICARE: CSLEWISDC LLC

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1801635230
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CSLEWISDC LLC

Provider Business Mailing Address
First Line	:	4304 OCEAN BEACH HWY
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-4826
Country	:	US
Telephone Number	:	360-562-2002
Fax Number	:

Provider Business Practice Location Address
First Line	:	4304 OCEAN BEACH HWY
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-4826
Country	:	US
Telephone Number	:	360-562-2002
Fax Number	:

Authorized Official
Title or Position	:	DR. /OWNER
Name	:	DR. CHRISTINE S LEWIS
Credential	:	DC
Telephone Number	:	360-562-2002

Provider Enumeration Date	:	05/24/2024
Last Update Date	:	05/24/2024

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Directions to “CSLEWISDC LLC ” Practice Location

Language	Start Address	Practice Location

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