Organization Name: | LEWIT WORRELL MD INC |
NPI Number: | 1134317308 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEWIT A WORRELL (PRESIDENT) |
Mailing Address: | 1334 W Covina Blvd Suite 101 San Dimas |
State: | CA US |
Postal Code: | 917733211 |
Phone Number: | 9095996611 |
Fax Number: | 9095998390 |
NPI Enumeration Date: | 10/11/2007 |
NPI Last Update Date: | 07/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YX0905X |
License Number: | A67787 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |