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Joshua Lewallen

Community Health Worker in Dearborn, MI. Individual provider (NPI-1).

NPI number1154036788
StatusActive
Last updated in NPPESJan 18, 2023

Details

NPI
1154036788
Entity type
Individual (NPI-1)
Name
Joshua Lewallen
Sex
Male
Sole proprietor
No
Enumeration date
Jan 18, 2023
Certification date
Jan 18, 2023
Last updated
Jan 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

1 Parklane Blvd Ste 200e
Dearborn, MI 48126-2400

Phone 313-846-2606

Mailing address

1 Parklane Blvd Ste 200e
Dearborn, MI 48126-2400

Phone 313-846-2606

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