Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDGAR LEWIS III, C.O.
Active Sole ProprietorEDGAR LEWIS III, C.O. is a Prosthetic/Orthotic Supplier healthcare provider located in LIVONIA, Michigan. NPI 1063823540 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · LIVONIA, MI
Registration Details
- NPI Number
- 1063823540
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 19, 2014 (12.049429841699 yrs)
- Last Updated
- May 19, 2014
- License
-
CO0004213 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16988 FARMINGTON RDLIVONIA, MI, 481542973Browse MI providers · Browse ZIP 48154
- Phone
- 2482271408
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.