Lewis Eldridge MDIV

NPI 1790826808 - Counselor - 101YP1600X

NPI Details
NPI 1790826808
Gender Male
Enumeration Date 02/09/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1440 CHINOOK CT
E
SAN FRANCISCO CA, 94130-1628, US
Phone (415) 394-9075
Fax
Business Location
242 PARK LN
RICHMOND CA, 94803-1224, US
Phone (510) 243-0464
Fax
Toxanomy
Taxonomy Code 101YP1600X
License State California
License Number GGBTS
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According to our database, Mr. Lewis Eldridge MDIV NPI is 1790826808, taxonomy code is 101YP1600X and license number is GGBTS, license state is located at California. Lewis Eldridge MDIV physically located at 1440 Chinook Ct, San Francisco CA, 94130-1628. NPI Number Lewis Eldridge MDIV has the Individual type.

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1790826808 NPI number is provided on an as is basis without warranty of any kind. 1790826808 is maintained by the National Plan & Provider Enumeration System. The contents of Lewis Eldridge MDIV are for informational purposes only.