Individual
MEAGAN L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2400
Mailing address
6533 E JEFFERSON AVE APT 507, DETROIT, MI 48207-4365
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301104799
MI
207P00000X
Emergency Medicine Physician
MT200585
PA
Other
Enumeration date
06/17/2010
Last updated
11/01/2021
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