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Individual
DR. SCOTT G LEWIS
Active
Individual
DR. SCOTT G LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301046235
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0630659
BCBS INDIVIDUAL
MI
05
—
1245215573
—
MI
01
—
700F314390
BLUE SHIELD
MI
01
—
C4706
M'CARE
MI
Enumeration date
12/09/2005
Last updated
08/30/2019
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