NPI 1083376982

Michael Allen Lewis, CPO

Practitioner Prosthetist Spring Valley, IL

Practice location

Address: 307 W Saint Paul St, Spring Valley, IL 61362-1860
Phone: (312) 315-6584

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 211000091

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 213000080

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Registry record

NPI: 1083376982
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Oct 2021
Record last updated: 7 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.