Individual
LACEY ANN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35425 W MICHIGAN AVE STE 1, WAYNE, MI 48184-1600
(734) 899-7714
Mailing address
35425 W MICHIGAN AVE STE 1, WAYNE, MI 48184-1600
(734) 899-7714
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802089266
MI
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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