Individual
MRS. CODEE TAYLOR LEWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
49677 COURTYARD LN, CANTON, MI 48188-3474
(734) 502-7029
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704289687
MI
Other
Enumeration date
01/20/2019
Last updated
01/20/2019
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