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Individual

MICHAEL LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
310 E PULASKI HWY, ELKTON, MD 21921-6435
(443) 485-6213
(443) 485-6226
Mailing address
500 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4324
(443) 643-2000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003053
MD
363A00000X
Physician Assistant
C5-0012131
DE

Other

Enumeration date
04/27/2006
Last updated
01/22/2025
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