# MICHELLE M. LEWIS, DO., LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679874648
- **Authorized official:** MICHELLE LEWIS DO (OWNER/PHYSICIAN)
- **Authorized official phone:** (702) 566-3040

## Contact information

- **Practice address:** 1701 N GREEN VALLEY PKWY, SUITE 3A, HENDERSON, NV 89074-5885
- **Practice address phone:** (702) 566-3040
- **Practice address fax:** (702) 361-2813
- **Mailing address:** 1701 N GREEN VALLEY PKWY, SUITE 3A, HENDERSON, NV 89074-5885
- **Mailing address phone:** (702) 566-3040
- **Mailing address fax:** (702) 361-2813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 720 | NV | Yes |

## Other

- **Enumeration date:** 11/08/2010
- **Last updated:** 03/01/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2019372 | — | NV |