Individual
LOREITA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2076 HATHAWAY DR, BRUNSWICK, OH 44212-4028
(330) 304-7297
Mailing address
2076 HATHAWAY DR, BRUNSWICK, OH 44212-4028
(330) 304-7297
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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