Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edgar Lewis III, CO

Individual provider Prosthetic/Orthotic Supplier · NPI 1063823540

Edgar Lewis III, CO is a Prosthetic/Orthotic Supplier in Livonia, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2014
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Practice location Address checks out

16988 Farmington Rd
Livonia, MI 48154-2973
Phone: (248) 227-1408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence CO0004213 (MI)

Record details

NPI number1063823540
Entity typeIndividual (Type 1)
GenderMale
Credentials CO
Sole proprietorYes
NPI enumeratedMay 19, 2014
Last updated in NPPESMay 19, 2014

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