Search › California › 111N00000X
Lewis Grove, D.C
NPI 1275649436 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3000 North Lake Blvd.
Suite 4
Tahoe City, CA 96145 - Phone
- (530) 583-2225
- Fax
- (801) 382-6066
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-08-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California