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Individual

MR. MICHAEL SHANNON LEWIS

Active
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Individual

MR. MICHAEL SHANNON LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP-C

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A0909042
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0059811
OH
Enumeration date
10/02/2009
Last updated
05/14/2013
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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