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Individual

LISA L. LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE SUITE 207, DEARBORN, MI 48126
(313) 982-8261
(313) 982-8205
Mailing address
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE SUITE 207, DEARBORN, MI 48126
(313) 982-8261

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101012546
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LL012546
COMMERCIAL-COMMERCIAL NUMBER
Enumeration date
11/17/2006
Last updated
07/08/2007
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