Individual
SIERRA LEWELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPAS, PA-C
Contact information
Practice address
955 BETHESDA DR FL 1, PHYSICIAN PAVILION, ZANESVILLE, OH 43701-1873
(740) 454-0804
Mailing address
1130 HIDEAWAY LN, ZANESVILLE, OH 43701-7750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004767RX
OH
Other
Enumeration date
08/23/2016
Last updated
10/27/2016
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