NPI 1336342591
Michael Jesse Lewis, IDC
Practice location
- Address
- 321 Bullfinch Rd, Panama City, FL 32407-7012
- Phone
- (850) 230-3236
- Fax
- (850) 230-3234
- Mailing address
- 2722 Wakulla Ave, Panama City, FL 32405-7085
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1336342591
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Jun 2007
- Record last updated
- 8 Jul 2007
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.