Individual
GRADY LEWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BOCP, CFO
Contact information
Practice address
40 NORTH ST, SUITE 6, PRESQUE ISLE, ME 04769-2287
(207) 762-3808
(207) 762-3809
Mailing address
40 NORTH ST, SUITE 6, PRESQUE ISLE, ME 04769-2287
(207) 762-3808
(207) 762-3809
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
247000000X
Health Information Technician
—
—
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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