Individual
DR. MARK G LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1200 E MICHIGAN AVE, SUITE 345, LANSING, MI 48912
(517) 364-6210
(517) 364-2842
Mailing address
PO BOX 13008, LANSING, MI 48909
(517) 364-6253
(517) 364-6204
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
02000903A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
02000903A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100325730B
—
IN
Enumeration date
06/05/2006
Last updated
07/21/2022
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