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Contact Information

NICOLE S LEWIS, MD
24401 CALLE DE LA LOUISA STE 200
LAGUNA HILLS, CA92653
 Phone: 949-452-7200
 Fax: 949-464-0720
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for NICOLE S LEWIS · (Female)

NPI Number 1316103500
Status Active
Credentials MD
Entity Individual
Enumeration date 08/06/2008
Last updated 08/24/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A152148
  • DC License # MD039387
  • VA License # 0116020356
Hospital affiliation(s)
  • SADDLEBACK MEMORIAL MEDICAL CENTER - (Acute Care)
    24451 HEALTH CENTER DRIVE
    LAGUNA HILLS, CA 92653
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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