Provider Demographics
NPI:1750475737
Name:LEW, DORIS P (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DORIS
Middle Name:P
Last Name:LEW
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5780 SHADOW HILL DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-7882
Mailing Address - Country:US
Mailing Address - Phone:925-294-5054
Mailing Address - Fax:925-960-7529
Practice Address - Street 1:300 PULLMAN ST
Practice Address - Street 2:ADMIN BLDG, 2ND FLOOR
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-9756
Practice Address - Country:US
Practice Address - Phone:925-294-5054
Practice Address - Fax:925-960-7529
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 50474183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist