TERRY HUBERT LEWIS

PORTAGE, MI
NPI1174976773
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MI  4704238831)
Enumeration Date2016-07-19
Last Update Date2016-08-19
Business Address
TERRY HUBERT LEWIS NP-C
2725 AIRVIEW BLVD
PORTAGE, MI 49002-1803
Phone number: 269-349-8386
Mailing Address
TERRY HUBERT LEWIS NP-C
8137 E CREE LAKE DR S
KENDALLVILLE, IN 46755-9721
Phone number: 269-349-8386
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