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Individual
MICHELLE MARIE LEWIS
Active
Individual
MICHELLE MARIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106842
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y0E1X
BCBS
FL
Enumeration date
09/21/2012
Last updated
07/25/2018
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