Individual
TAMARA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(800) 615-0411
Mailing address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(800) 615-0411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704312913
MI
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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