| Doctor Name: | MALINA LEWIS |
| NPI Number: | 1003072778 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 2051 |
| Business Practice Address: | 9811 W Charleston Blvd # 2-641 Las Vegas, NV - 891177528 |
| Business Phone Number: | 8558644322 |
| Business Fax Number: | 9723641249 |
| Mailing Address: | 9811 W Charleston Blvd # 2-641, LAS VEGAS |
| State: | NV |
| Postal Code: | 891177528 |
| Phone Number: | 8558644322 |
| Fax Number: | 9723641249 |
| NPI Enumeration Date: | 08/01/2008 |
| NPI Last Update Date: | 03/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246ZE0500X |
| License Number: | 2051 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | EEG |
| Taxonomy Definition: | |