Provider Demographics
NPI:1033496153
Name:LEWIS, SIOBHAN ELIZABETH (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SIOBHAN
Middle Name:ELIZABETH
Last Name:LEWIS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12097 VETERANS MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-1001
Mailing Address - Country:US
Mailing Address - Phone:281-444-6304
Mailing Address - Fax:281-444-1390
Practice Address - Street 1:12097 VETERANS MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-1001
Practice Address - Country:US
Practice Address - Phone:281-444-6304
Practice Address - Fax:281-444-1390
Is Sole Proprietor?:No
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43605183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist