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Organization
LEWIS FAMILY CHIROPRACTIC, INC.
Active
Organization
LEWIS FAMILY CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM R LEWIS DC (OWNER)
(330) 422-1551
Entity
Organization
Contact information
Practice address
9304 STATE ROUTE 43, STREETSBORO, OH 44241-5326
(330) 422-1551
Mailing address
9304 STATE ROUTE 43, STREETSBORO, OH 44241-5326
(330) 422-1551
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2648
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000213133
ANTHEM BLUE CROSS BLUE SH
OH
01
—
P00093170
MEDICARE RAILROAD
OH
Enumeration date
01/09/2008
Last updated
04/20/2008
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