| NPI | 1407956089 |
|---|---|
| Former Name | MECHELLE D. LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0069712) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009014177) |
| 207R00000X Internal Medicine (Licence: MT 12457) | |
| 208000000X Pediatrics (Licence: MO 2009014177) | |
| 208000000X Pediatrics (Licence: MT 12457) | |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2022-12-14 |