Lew, Clarke R.

Lew, Clarke R. is an individual health care provider with primary practice located at 751 S Weir Canyon Rd , Anaheim CA 92808-1962. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Lew, Clarke R. can be contacted via phone (714) 453-0120.

Contact Information

Primary practice address
751 S Weir Canyon Rd Anaheim CA 92808-1962
Phone: (714) 453-0120
Fax: (714) 453-0138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A54668 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A54668 California

Profile Details

NPI number 1194768077
LBN Legal business name Lew, Clarke R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jun 25th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194768077 NPPES
California Other WA54668E MEDICARE PTAN

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