Individual
ALICIA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22516 VERA ST, CLEVELAND, OH 44128-4772
(216) 662-5999
Mailing address
22516 VERA ST, CLEVELAND, OH 44128-4772
(216) 662-5999
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.0025060
OH
163W00000X
Registered Nurse
Primary
RN376233
OH
Other
Enumeration date
06/25/2012
Last updated
06/27/2012
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