Doctor Name: | CANDICE NELSON LEWIS |
NPI Number: | 1043234040 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 35595 |
Business Practice Address: | 1845 W. Orange Grove Building 2 Tucson, AZ - 85704 |
Business Phone Number: | 5205318967 |
Business Fax Number: | 5207427180 |
Mailing Address: | 1760 E. River Road, #350 TUCSON |
State: | AZ |
Postal Code: | 85718 |
Phone Number: | 5205197775 |
Fax Number: | 5205197910 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 09/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35595 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |