Provider Demographics
NPI:1790887487
Name:LEWIS, ELIZABETH MORELAND (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:MORELAND
Last Name:LEWIS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3569 SACRAMENTO ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1866
Mailing Address - Country:US
Mailing Address - Phone:415-776-4664
Mailing Address - Fax:415-563-9770
Practice Address - Street 1:3569 SACRAMENTO ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1866
Practice Address - Country:US
Practice Address - Phone:415-776-4664
Practice Address - Fax:415-563-9770
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC381562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry