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Brian Lewis

NPI 1578019055 · on the registry since 2016 · sole proprietor

Practice

Address
1720 Bonnie Cove Ave
5
Glendora, CA 91740
Phone
(619) 840-3970

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-08-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California