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Individual

MRS. AMY LYNN LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2068 WILL CARLETON RD, FLAT ROCK, MI 48134-9601
(734) 384-0396
Mailing address
2068 WILL CARLETON, FLAT ROCK, MI 48134
(734) 384-0396

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704280533
MI

Other

Enumeration date
11/30/2011
Last updated
11/30/2011
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