Tiffany Lewis
Technician, Other in Redford, MI. Individual provider (NPI-1).
NPI number1982156865
StatusActive
Last updated in NPPESOct 26, 2016
Details
- NPI
- 1982156865
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Lewis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2016
- Last updated
- Oct 26, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
9001 AppletonRedford, MI 48239-1235
Phone 313-948-5067
Mailing address
9001 AppletonRedford, MI 48239-1235
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