Individual
COURTNEY MCCORMICK LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
5860 COWELL RD, BRIGHTON, MI 48116-5111
(734) 478-3499
Mailing address
5860 COWELL RD, BRIGHTON, MI 48116-5111
(734) 478-3499
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001449
MI
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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