Individual
MRS. SIERRA MICHELLE MARIA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3347 BLACK FOREST LN, INDIANAPOLIS, IN 46239-7945
(317) 717-2207
Mailing address
3347 BLACK FOREST LN, INDIANAPOLIS, IN 46239-7945
(317) 717-2207
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
0550703691
IN
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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