Provider Demographics
NPI:1801635230
Name:CSLEWISDC LLC
Entity type:Organization
Organization Name:CSLEWISDC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR. /OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:S
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-562-2002
Mailing Address - Street 1:4304 OCEAN BEACH HWY
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98632-4826
Mailing Address - Country:US
Mailing Address - Phone:360-562-2002
Mailing Address - Fax:
Practice Address - Street 1:4304 OCEAN BEACH HWY
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-4826
Practice Address - Country:US
Practice Address - Phone:360-562-2002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty