Most Relevant Information
Provider Data
| NPI Number: | 1003072778 |
| Provider Name: | MALINA LEWIS |
| Entity Type: | Individual |
| Taxonomy Code: | 246ZE0500X |
| Specialty: | Specialist/Technologist, Other |
| License Number: | 2051 |
Most Important Dates
| Enumeration Date: | 08/01/2008 |
| Last Updated: | 03/23/2015 |
Provider Practice Location
9811 W CHARLESTON BLVD # 2-641
LAS VEGAS
NV
891177528
Practice Location Phone/Fax
| Phone: | 8558644322 |
| Fax: | 9723641249 |
Provider Mailing Location
9811 W CHARLESTON BLVD # 2-641
LAS VEGAS
NV
891177528
Provider Mailing Phone/Fax
| Phone: | 8558644322 |
| Fax: | 9723641249 |