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1184697906
TRACY M. LEWIS
WAUKESHA, WI
NPI
1184697906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 40192)
Enumeration Date
2006-02-10
Last Update Date
2011-11-15
Business Address
-- TRACY M. LEWIS M.D.
2130 BIG BEND RD PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53189-7624
Phone number: 262-928-7555
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Mailing Address
-- TRACY M. LEWIS M.D.
N17W24100 RIVERWOOD DR STE 250 PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53188-1177
Phone number: 262-928-4100
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