Individual
DR. MICHAEL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
855 LAKEWOOD RD STE 100, WATERBURY, CT 06704-5408
(203) 577-5497
(203) 599-0748
Mailing address
855 LAKEWOOD RD STE 100, WATERBURY, CT 06704-5408
(203) 577-5497
(203) 599-0748
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0009550
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831472117
NPI
CT
05
—
1831472117
—
CT
Enumeration date
09/23/2011
Last updated
07/08/2020
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