MEDICARE: MICHELLE LEWIS

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
1	164X00000X	Licensed Vocational Nurse	271864	CA

General Provider Information

NPI Number	:	1689079311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE LEWIS

Provider Business Mailing Address
First Line	:	PO BOX 582464
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95758-0042
Country	:	US
Telephone Number	:	916-613-8279
Fax Number	:

Provider Business Practice Location Address
First Line	:	7420 FLAMINGO WAY
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95828-3231
Country	:	US
Telephone Number	:	916-613-8279
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2014
Last Update Date	:	10/23/2014

Similar Medicare Providers

1972079036 — KIMBERLY PIRES
Practice Location Address:

8801 FOLSOM BLVD STE 195
SACRAMENTO, CA
95826-3231

Practice Phone: 916-382-4447
Practice Fax:

1730708736 — MISS BRITTANY MARGARET HUBBARD
Practice Location Address:

8801 FOLSOM BLVD STE 195
SACRAMENTO, CA
95826-3231

Practice Phone: 916-382-4447
Practice Fax:

1013338870 — JASON WILSON
Practice Location Address:

2020 HURLEY WAY STE 145
SACRAMENTO, CA
95825-3231

Practice Phone: 310-702-5792
Practice Fax:

1700887452 — ROYAL MANOR HEALTH CARE, INC.
Practice Location Address:

5901 LEMON HILL AVE
SACRAMENTO, CA
95824-3231

Practice Phone: 916-383-2741
Practice Fax: 916-383-0243

1114385630 — BRIARWOOD POST ACUTE LLC
Practice Location Address:

5901 LEMON HILL AVE
SACRAMENTO, CA
95824-3231

Practice Phone: 916-383-2741
Practice Fax:

1437669546 — JONATHAN ESCOBAR
Practice Location Address:

8801 FOLSOM BLVD STE 195
SACRAMENTO, CA
95826-3231

Practice Phone: 510-268-8120
Practice Fax:

Directions to “ MICHELLE LEWIS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.