Lewis, Beverly

Lewis, Beverly is an individual health care provider with primary practice located at 900 S Main St Ste 105 , Corona CA 92882-3401. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Lewis, Beverly can be contacted via phone (951) 363-0243.

Contact Information

Primary practice address
900 S Main St Ste 105 Corona CA 92882-3401
Phone: (951) 363-0243
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G42697 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G42697 California

Profile Details

NPI number 1760456529
LBN Legal business name Lewis, Beverly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Feb 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760456529 NPPES
California MEDICAID GR0040370

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