MICHAEL ALLEN LEWIS

SPRING VALLEY, IL
NPI1083376982
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence:   211000091)
Additional Taxonomies222Z00000X 
(Licence:   213000080)
Enumeration Date2021-10-07
Last Update Date2021-10-07
Business Address
MICHAEL ALLEN LEWIS CPO
307 W SAINT PAUL ST
SPRING VALLEY, IL 61362-1860
Phone number: 312-315-6584
Mailing Address
MICHAEL ALLEN LEWIS CPO
307 W SAINT PAUL ST
SPRING VALLEY, IL 61362-1860
Phone number: 815-663-8418