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Individual

MRS. KATHRYN ELIZABETH LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15855 19 MILE RD, CLINTON TWP, MI 48038-3504
(800) 532-2411
Mailing address
24211 LITTLE MACK AVE APT 2, SAINT CLAIR SHORES, MI 48080-1151
(586) 498-0421
(586) 498-0421

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704252928
MI
363LW0102X
Women's Health Nurse Practitioner
4704252928
MI

Other

Enumeration date
08/15/2012
Last updated
07/07/2025
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