SearchMichigan124Q00000X

Pennie Lewis, RDH

NPI 1760703177 · on the registry since 2010 · sole proprietor

Practice

Address
5747 Blaine Se
Kentwood, MI 49508
Phone
(616) 455-2467

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-06-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan