Individual
COLLEEN MINNETTE LEWELLYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 CRESTWOOD DR, HANCOCK, MI 49930-1135
(630) 664-7551
Mailing address
1040 CRESTWOOD DR, HANCOCK, MI 49930-1135
(630) 664-7551
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
5302042577
MI
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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