Individual provider · Type 1 NPI

Michael Robert Lewis

Student in an Organized Health Care Education/Training Program · Lock Haven, PA

NPI number 1265945976 Active

Practice location

401 N Fairview St
Lock Haven, PA 17745-2342

Call (570) 484-2027 Map

Mailing address

17 Browns Rd
Shickshinny, PA 18655-4414

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265945976

Michael Robert Lewis's National Provider Identifier is 1265945976, issued on Nov 16, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lock Haven, PA. The record was last updated on Nov 16, 2017.