Individual
DR. MADELINE ROSE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2727 S PENNSYLVANIA AVE, LANSING, MI 48910-3488
(517) 975-3750
(517) 975-3755
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(517) 353-3050
(517) 432-3742
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02001093A
IN
207Q00000X
Family Medicine Physician
Primary
5101020162
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1385535654
—
MI
05
—
200048620
—
IN
Enumeration date
11/04/2005
Last updated
12/14/2016
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