Individual
DR. CRAIG DONALD LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 COOLIDGE RD, EAST LANSING, MI 48823-1378
(517) 337-1668
(517) 337-1779
Mailing address
2001 COOLIDGE RD, EAST LANSING, MI 48823-1378
(517) 337-0316
(517) 337-1779
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301084284
MI
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
4301084284
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114119997
—
MI
01
—
200000024721
PHP
MI
01
—
4301084284
STATE LICENSE
MI
01
—
P00917582
RR MEDICARE
MI
Enumeration date
08/15/2007
Last updated
08/16/2023
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