Individual
DR. MICHELLE H LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
950 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 204-1063
Mailing address
9706 N VALLEY HILL DR, MEQUON, WI 53092-5341
(262) 643-4546
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2599
WI
Other
Enumeration date
03/29/2007
Last updated
12/02/2016
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