Provider Demographics
NPI:1992099154
Name:STEPHEN B. LEWIS, M.D., INC.
Entity type:Organization
Organization Name:STEPHEN B. LEWIS, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-682-9232
Mailing Address - Street 1:2425 EAST ST
Mailing Address - Street 2:SUITE 15
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-1928
Mailing Address - Country:US
Mailing Address - Phone:925-682-9232
Mailing Address - Fax:925-672-2198
Practice Address - Street 1:2425 EAST ST
Practice Address - Street 2:SUITE 15
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-1928
Practice Address - Country:US
Practice Address - Phone:925-682-9232
Practice Address - Fax:925-672-2198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-06
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG20175207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty