Individual
LEONARD A LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3863 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49534-4520
(616) 453-2429
(616) 453-8340
Mailing address
3863 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49534-4520
(616) 453-2429
(616) 453-8340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101009918
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2675756
—
MI
Enumeration date
05/04/2006
Last updated
03/28/2008
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