Individual
MR. MICHAEL CAMERON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
7528 FOXWERTH DR, WILMINGTON, NC 28411-7352
(919) 323-6311
Mailing address
7528 FOXWERTH DR, WILMINGTON, NC 28411-7352
(919) 323-6311
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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