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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ELENA JEAN LEWIS, MD

Active

DR. ELENA JEAN LEWIS, MD is a Allergy healthcare provider located in PORTAGE, Michigan. NPI 1194928994 is currently active in the NPPES registry. Verify at CMS.

Allergy · PORTAGE, MI

Registration Details

NPI Number
1194928994
Provider Type
Individual
Gender
Female
NPI Issued
Jun 8, 2007 (19.18210687633 yrs)
Last Updated
Dec 15, 2016
Licenses
4301085524 (MI)
EL085524 (MI)

Practice Information

Address
1324 W MILHAM AVE
SUITE 1
PORTAGE, MI, 490242239
Browse MI providers · Browse ZIP 49024
Phone
2693420196
Fax
2693420532
Primary Specialty
Allergy
207KA0200X
Additional Specialty
Allergy
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.