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Edgar Lewis III, CO
Prosthetic/Orthotic Supplier in Livonia, Michigan
NPI 1063823540

Edgar Lewis III is a Prosthetic/Orthotic Supplier based in Livonia, MI. Edgar Lewis III practices in Livonia, MI and has the professional credentials of CO. The NPI Number for Edgar Lewis III is 1063823540 and holds a License No. CO0004213 (Michigan).

The current practice location address for Edgar Lewis III is 16988 Farmington Rd, Livonia, MI and can be reached out via phone at 248-227-1408.

Location: 16988 Farmington Rd, Livonia, MI, 48154-2973
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063823540
Provider Name
Edgar Lewis III
Credential
CO
Provider Entity Type
Individual
Gender
Male
Address
16988 Farmington Rd, Livonia, MI, 48154-2973
Phone Number
248-227-1408
Fax Number
Provider Enumeration Date
05/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16988 Farmington Rd
City
Livonia
State
Michigan
Zip
48154-2973
Phone Number
248-227-1408
Fax Number
person
Provider Business Mailing Address Details
Address
16988 Farmington Rd
City
Livonia
State
Michigan
Zip
48154-2973
Phone Number
248-227-1408
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
CO0004213 (Michigan)
Definition
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.
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