Individual
DR. MICHAEL R LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 N HIGLEY RD, GILBERT, AZ 85234-1604
(602) 685-5211
(602) 685-5325
Mailing address
PO BOX 42210, PHOENIX, AZ 85080-2210
(623) 266-7770
(623) 322-4639
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
62566
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02744943
—
NY
05
—
1011636
—
VT
01
—
62566
ARIZONA MEDICAL BOARD
AZ
Enumeration date
07/20/2006
Last updated
06/25/2021
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