Lewis, Tracy M.

Lewis, Tracy M. is an individual health care provider with primary practice located at 2130 Big Bend Rd Prohealth Care Medical Associates Inc., Waukesha WI 53189-7624. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lewis, Tracy M. can be contacted via phone (262) 928-7555.

Contact Information

Primary practice address
2130 Big Bend Rd Prohealth Care Medical Associates Inc. Waukesha WI 53189-7624
Phone: (262) 928-7555
Fax: (262) 513-7575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40192 Wisconsin

Profile Details

NPI number 1184697906
LBN Legal business name Lewis, Tracy M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Nov 15th, 2011 - about 15 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 1184697906 NPPES
Wisconsin MEDICAID 32635000

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