Crystal Tina Lew O.D.

NPI 1548574569 - Optometrist - 152W00000X

NPI Details
NPI 1548574569
Gender Female
Enumeration Date 08/02/2010
Last Updated 08/02/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1418 POLK ST
SAN FRANCISCO CA, 94109-4616, US
Phone (415) 776-5872
Fax
Business Location
1418 POLK ST.
SAN FRANCISCO CA, 94109, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 13966
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According to our database, Crystal Tina Lew O.D. NPI is 1548574569, taxonomy code is 152W00000X and license number is 13966, license state is located at California. Crystal Tina Lew O.D. physically located at 1418 Polk St, San Francisco CA, 94109-4616. NPI Number Crystal Tina Lew O.D. has the Individual type.

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1548574569 NPI number is provided on an as is basis without warranty of any kind. 1548574569 is maintained by the National Plan & Provider Enumeration System. The contents of Crystal Tina Lew O.D. are for informational purposes only.