Individual provider · Type 1 NPI
Edgar Lewis Iii, C.O.
Prosthetic/Orthotic Supplier · Livonia, MI
Practice location
16988 Farmington Rd
Livonia, MI 48154-2973
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | CO0004213 (MI) |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Another provider at this address
About NPI 1063823540
Edgar Lewis Iii, C.O.'s National Provider Identifier is 1063823540, issued on May 19, 2014. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Livonia, MI. The record was last updated on May 19, 2014.