Provider Demographics
NPI:1669585238
Name:LEW, WILBUR Y W (MD)
Entity type:Individual
Prefix:DR
First Name:WILBUR
Middle Name:Y W
Last Name:LEW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5577 CANDLELIGHT DR
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-7713
Mailing Address - Country:US
Mailing Address - Phone:858-454-1852
Mailing Address - Fax:
Practice Address - Street 1:3350 LA JOLLA VILLAGE DRIVE
Practice Address - Street 2:CARDIOLOGY (111A), VA MEDICAL CENTER
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92161-0002
Practice Address - Country:US
Practice Address - Phone:858-642-3545
Practice Address - Fax:858-552-7490
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2013-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG40117207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine