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1760660419
LISA LEWIS
WATERFORD, MI
NPI
1760660419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501012760)
Enumeration Date
2008-02-05
Last Update Date
2008-02-05
Business Address
-- LISA LEWIS DPT
4206 PONTIAC LAKE RD
WATERFORD, MI 48328-1261
Phone number: 248-673-2762
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Mailing Address
-- LISA LEWIS DPT
4206 PONTIAC LAKE RD
WATERFORD, MI 48328-1261
Phone number: 248-673-2762
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