Individual
MS. ALIYAH GABRIELLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 W GREENLAWN AVE STE 200, LANSING, MI 48910-2889
(517) 657-2638
Mailing address
405 W GREENLAWN AVE STE 200, LANSING, MI 48910-2889
(517) 657-2638
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200048271729
—
MI
Enumeration date
11/01/2021
Last updated
11/01/2021
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