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NPI Code Detail

MEDICARE: MICHAEL LEWIS DC PA

MEDICARE: MICHAEL LEWIS DC PA
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1699911065
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL LEWIS DC PA
Provider Business Mailing Address
First Line : 1291 WINTER GARDEN VINELAND RD STE 130
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-6705
Country : US
Telephone Number : 407-614-5900
Fax Number :
Provider Business Practice Location Address
First Line : 1291 WINTER GARDEN VINELAND RD STE 130
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-6705
Country : US
Telephone Number : 407-614-5900
Fax Number :
Authorized Official
Title or Position : DOCTOR
Name : DR. MICHAEL R LEWIS
Credential : DC
Telephone Number : 407-614-5900
Provider Enumeration Date : 01/06/2009
Last Update Date : 11/23/2009

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Directions to “MICHAEL LEWIS DC PA ” Practice Location

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