Provider Demographics
NPI:1871618579
Name:LEWIS, NATALIE ELENA (LAC)
Entity type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:ELENA
Last Name:LEWIS
Suffix:
Gender:F
Credentials:LAC
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Other - First Name:
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Mailing Address - Street 1:8549 WILSHIRE BLVD
Mailing Address - Street 2:#1447
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3104
Mailing Address - Country:US
Mailing Address - Phone:323-653-3344
Mailing Address - Fax:323-653-9613
Practice Address - Street 1:8549 WILSHIRE BLVD
Practice Address - Street 2:#1447
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3104
Practice Address - Country:US
Practice Address - Phone:323-653-3344
Practice Address - Fax:323-653-9613
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA11130171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist