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NPI Profile for WANDA L LEWIS in WESTLAND, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
School |
101YS0200X |
| NPI # | 1124481866 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/31/2016 | |
| Last updated | 03/31/2016 - About 10 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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WANDA L LEWIS
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WANDA L LEWIS