Organization
THEA C LEWIS DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEA C LEWIS DC (OWNER CHIROPRACTOR)
(313) 724-1792
Entity
Organization
Contact information
Practice address
22190 GARRISON ST, 202, DEARBORN, MI 48124-2260
(313) 724-1792
Mailing address
22190 GARRISON ST, 202, DEARBORN, MI 48124-2260
(313) 724-1792
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007082
MI
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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