Lewis, Ilene Castille
Lewis, Ilene Castille is an individual health care provider with primary practice located at 1501 San Pedro Dr Se , Albuquerque NM 87108-5153. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Lewis, Ilene Castille can be contacted via phone (505) 265-1711.Contact Information
Primary practice address
1501 San Pedro Dr Se
Albuquerque NM 87108-5153
Phone: (505) 265-1711
Fax: (505) 767-6051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | MD2019-0155 | New Mexico |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD2019-0155 | New Mexico |
Profile Details
| NPI number | 1760641930 |
|---|---|
| LBN Legal business name | Lewis, Ilene Castille |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2008 |
| Last updated | Jul 12th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760641930 | NPPES |
| Wisconsin | MEDICAID | 1760641930 |
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