Individual
MRS. MICHELE THERESE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
607 BEAMAN ST, ANESTHESIA DEPARTMENT, CLINTON, NC 28328-2603
(910) 592-8511
(910) 592-8511
Mailing address
PO BOX 890235, CHARLOTTE, NC 28289-0235
(800) 919-1190
(800) 919-1190
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
121721
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051683
—
NC
01
—
D3601
MEDCOST
NC
Enumeration date
07/21/2005
Last updated
05/22/2008
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