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NPI Code Detail

MEDICARE: MICHAEL LEWIS JR.

MEDICARE: MICHAEL LEWIS JR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1558227306
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL LEWIS JR.
Provider Business Mailing Address
First Line : 5203 LEESBURG PIKE APT 1417
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22041-3414
Country : US
Telephone Number : 214-542-7670
Fax Number :
Provider Business Practice Location Address
First Line : 4017 MINNESOTA AVE NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-3541
Country : US
Telephone Number : 202-388-9202
Fax Number : 202-388-4339
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2025
Last Update Date : 12/24/2025

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