# DR. CHRISTINA LATRICIA LEWIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1356427942
- **Gender:** F
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901017597 | MI | Yes |
| 1223G0001X | General Practice Dentistry | 4949T | NV | — |
| 1223G0001X | General Practice Dentistry | 55018 | CA | — |
| 1223G0001X | General Practice Dentistry | 5835 | OK | — |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 03/11/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4093385 | — | MI |
| 01 | — | D800438 | BLUE CROSS/BLUE SHIELD | MI |