Individual
DR. DAVID LEROY LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19315 LIVERNOIS AVE, DETROIT, MI 48221-1717
(954) 384-0175
Mailing address
19315 LIVERNOIS AVE, DETROIT, MI 48221-1717
(954) 384-0175
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2012-00520
NC
208VP0000X
Pain Medicine Physician
201200520
NC
208VP0014X
Interventional Pain Medicine Physician
201200520
NC
Other
Enumeration date
07/22/2009
Last updated
07/10/2024
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