Thea C Lewis DC LLC

NPI #1104194901 in Dearborn, Michigan

Provider Information

NPI Number: 1104194901
Entity Type: Organization
Organization Name: Thea C Lewis DC LLC
Primary Specialty: Chiropractor
Enumeration Date: Dec 7, 2011
Last Updated: Dec 7, 2011

Practice Location

Address: 22190 GARRISON ST
Address 2: 202
City: Dearborn
State: Michigan
ZIP Code: 48124-2260
Phone: (313) 724-1792

Authorized Official

Name: DR. THEA C LEWIS, DC
Title: OWNER CHIROPRACTOR
Phone: (313) 724-1792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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