Individual
MICHAEL LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
835 E 18TH AVE, DENVER, CO 80218-1024
(303) 825-4646
Mailing address
4927 WALNUT GROVE DR, POPLAR GROVE, IL 61065-8600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0073167
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2021
Last updated
07/11/2024
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