Individual
MICHAEL JAMES LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
304A E 4TH ST, ELDON, MO 65026-1808
(573) 552-5700
(573) 557-2401
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022007578
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420107937
—
MO
Enumeration date
03/11/2022
Last updated
05/29/2025
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