Provider Demographics
NPI:1316733843
Name:LEWIS, CHRISTIAN (CPT)
Entity type:Individual
Prefix:MS
First Name:CHRISTIAN
Middle Name:
Last Name:LEWIS
Suffix:
Gender:
Credentials:CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 RUSS ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-1520
Mailing Address - Country:US
Mailing Address - Phone:203-298-2265
Mailing Address - Fax:
Practice Address - Street 1:274 SHERMAN AVE
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-4383
Practice Address - Country:US
Practice Address - Phone:203-298-2265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy