Wendy P Lewis, PA-C
Physician Assistant in Santa Ana, CA. Individual provider (NPI-1).
NPI number1164023347
StatusActive
Last updated in NPPESAug 31, 2023
Details
- NPI
- 1164023347
- Entity type
- Individual (NPI-1)
- Name
- Wendy P Lewis
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2020
- Certification date
- Aug 31, 2023
- Last updated
- Aug 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
210 N Tustin AveSanta Ana, CA 92705-3807
Phone 888-959-5192
Mailing address
1428 Dream Bridge DrLas Vegas, NV 89144-1654
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