Individual
DR. JOAN MARY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS,MSD
Contact information
Practice address
5649 SASHABAW RD, CLARKSTON, MI 48346-3149
(248) 625-1721
(248) 625-5475
Mailing address
2801 WALDON PARK DR, ORION, MI 48359-1334
(248) 391-2122
(248) 625-5475
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901014530
MI
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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