Individual
BARRY K LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
37799 PROFESSIONAL CENTER DR, SUITE 105, LIVONIA, MI 48154-1153
(734) 464-3251
(734) 464-3368
Mailing address
37799 PROFESSIONAL CENTER DR, SUITE 105, LIVONIA, MI 48154-1153
(734) 464-3251
(734) 464-3368
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
5101007077
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2843691-11
—
MI
Enumeration date
01/20/2006
Last updated
05/11/2009
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