Individual
EDGAR LEWIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
16988 FARMINGTON RD, LIVONIA, MI 48154-2973
(248) 227-1408
Mailing address
16988 FARMINGTON RD, LIVONIA, MI 48154-2973
(248) 227-1408
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CO0004213
MI
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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