Pamela L Lewis, PAC
Individual provider Active NPI Physician Assistant · Marlette, MI
NPI 1114021276 · NPPES record last updated Feb 27, 2008
Key facts
- NPI
- 1114021276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601004681 (MI)
- Practice address
- 2770 Main St
Marlette, MI 48453-1141 - Phone
- (989) 635-4137
- Fax
- (989) 635-4056
- NPI assigned
- Sep 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U.S. Healthworks Medical Group of Utah, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601004681 | MI | Yes |
Addresses
Primary practice location
2770 Main St
Marlette, MI 48453-1141
Mailing address
2770 Main St
PO Box 307
Marlette, MI 48453-1141
Phone (989) 635-4137
Other providers in Marlette, MI
- Lawrence Holen
- Emily Howard
- Harold Randall Howard
- Michael Jon Kitto
- Elizabeth M Lefler
- Jason Lewis Liebler
- Madison Lossing
- Mason Leblanc Mallory
- Marlette Fam Dentistry PLLC
- Marlette Regional Hosital
All providers in Marlette, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.