Individual
DR. ELENA JEAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
EL085524
MI
208000000X
Pediatrics Physician
4301085524
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194928994
—
MI
01
—
700C910950
BCBSM
MI
Enumeration date
06/08/2007
Last updated
12/15/2016
Update your record
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