Individual
DR. BRADLEY JONATHAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1147 E MAIN ST, LANCASTER, OH 43130-4056
(740) 687-9173
(740) 689-3740
Mailing address
1147 E MAIN ST, LANCASTER, OH 43130-4056
(740) 687-9173
(740) 689-3740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35056043
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0697929
—
OH
Enumeration date
08/12/2005
Last updated
10/09/2012
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