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Individual

MR. DERRICK RAY LEWIS II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(517) 881-4448
Mailing address
3209 TRILLIUM DR, LANSING, MI 48906-8001
(517) 881-4448

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002914
MI
3747P1801X
Personal Care Attendant

Other

Enumeration date
09/27/2017
Last updated
03/06/2026
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