Provider Demographics
NPI:1295498301
Name:LEWENSTEIN, LILA (ND)
Entity type:Individual
Prefix:DR
First Name:LILA
Middle Name:
Last Name:LEWENSTEIN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 PARAISO AVE
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91977-4335
Mailing Address - Country:US
Mailing Address - Phone:310-998-7008
Mailing Address - Fax:
Practice Address - Street 1:620 GRAND AVE STE C
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-2363
Practice Address - Country:US
Practice Address - Phone:310-998-7008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-15
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1274175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath