Individual
MICHAEL DEAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3900 CAPITAL MALL DR SW, OLYMPIA, WA 98502-8654
(360) 754-5858
Mailing address
834 95TH LN SE, OLYMPIA, WA 98501-9211
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
153506
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61649011
WA
Other
Enumeration date
12/23/2024
Last updated
01/05/2026
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