| Doctor Name: | MS. ANDREA LEWIS |
| NPI Number: | 1780707075 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NNP |
| License Number: | 16001 |
| Business Practice Address: | 4928 Clover Pl Alta Loma, CA - 917372469 |
| Business Phone Number: | 9099485670 |
| Business Fax Number: | |
| Mailing Address: | 4928 Clover Pl, ALTA LOMA |
| State: | CA |
| Postal Code: | 917372469 |
| Phone Number: | 9099485670 |
| Fax Number: | |
| NPI Enumeration Date: | 04/09/2007 |
| NPI Last Update Date: | 04/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LN0000X |
| License Number: | 16001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Neonatal |
| Taxonomy Definition: | |