Individual
NOAH MICHAEL LEWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(877) 774-8632
Mailing address
9247 SULLY CV, FORT WAYNE, IN 46818-0127
(269) 858-9133
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
12/18/2024
Last updated
01/01/2025
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