Provider Demographics
NPI:1891913018
Name:LEWIS, ERICA DAWN (RN)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:DAWN
Last Name:LEWIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4733 TORRANCE BLVD # 509
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4100
Mailing Address - Country:US
Mailing Address - Phone:559-355-9124
Mailing Address - Fax:
Practice Address - Street 1:4733 TORRANCE BLVD # 509
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4100
Practice Address - Country:US
Practice Address - Phone:559-355-9124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA606353163W00000X
CAL-315659163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163W00000XNursing Service ProvidersRegistered Nurse