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LEWIS & MCCORRY PC NPI 1659408029


NPI Information

NPI: 1659408029
Provider Name: LEWIS & MCCORRY PC

Doing Business As: STANDALE FAMILY PHYSICIANS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D0889475

Address:
3863 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI
ZIP 49534
Phone: (616) 453-2429
Get Directions

LEWIS & MCCORRY PC is a family medicine in Grand Rapids, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LEWIS & MCCORRY PC NPI is 1659408029. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Standale Family Physicians.

The provider's business location address is:

3863 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI
ZIP 49534-520
Phone: (616) 453-2429
Fax: (616) 453-8340

The provider's authorized official is Leonard A Lewis .
The authorized official title is Member and has the following contact phone number (616) 453-2429.

The CLIA number assigned to this NPI record is 23D0889475 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/27/2007 and was last updated on 3/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E85441MEDICARE UPINMICHIGAN
2E73157MEDICARE UPINMICHIGAN
32675756MEDICAIDMICHIGAN
42675738MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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