Individual
KELLY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
2314 CRANBROOK DR, MIDLAND, MI 48642-3258
(989) 430-9314
Mailing address
2314 CRANBROOK DR, MIDLAND, MI 48642-3258
(989) 430-9314
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-150972
MI
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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