Lewis, Mark G

Lewis, Mark G is an individual health care provider with primary practice located at 1200 E Michigan Ave Suite 345, Lansing MI 48912. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Lewis, Mark G can be contacted via phone (517) 364-6210.

Contact Information

Primary practice address
1200 E Michigan Ave Suite 345 Lansing MI 48912
Phone: (517) 364-6210
Fax: (517) 364-2842
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 02000903A Indiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 02000903A Indiana

Profile Details

NPI number 1689613960
LBN Legal business name Lewis, Mark G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689613960 NPPES
Indiana MEDICAID 100325730B

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