Harry Eugene Lewis Jr., MD
Individual provider Active NPI General Practice Physician · Comptche, CA
NPI 1508184409 · NPPES record last updated May 17, 2010
Key facts
- NPI
- 1508184409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- G48900 (CA)
- Practice address
- 8400 Flynn Creek Rd
Comptche, CA 95427-0241 - Phone
- (707) 937-4397
- Fax
- (707) 937-4397
- NPI assigned
- May 17, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G48900 | CA | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | G48900 | CA | Yes |
Addresses
Primary practice location
8400 Flynn Creek Rd
Comptche, CA 95427-0241
Mailing address
PO Box 241
8400 Flynn Creek Rd
Comptche, CA 95427-0241
Phone (707) 937-4397
Other providers in Comptche, CA
All providers in Comptche, CA · General Practice Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.