| Doctor Name: | CHARLES O LEWIS |
| NPI Number: | 1891855631 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A39617 |
| Business Practice Address: | 1820 W Lacey Blvd Ste 286 Hanford, CA - 932307378 |
| Business Phone Number: | 5593813820 |
| Business Fax Number: | |
| Mailing Address: | 1820 W Lacey Blvd Ste 286, HANFORD |
| State: | CA |
| Postal Code: | 932307378 |
| Phone Number: | 5593813820 |
| Fax Number: | |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | A39617 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |