Individual
DR. SEAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
379 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 246-7000
Mailing address
4685 FOREST AVE STE C, CINCINNATI, OH 45212-3359
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35.131364
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.131364
OHIO MEDICAL LICENSE
OH
Enumeration date
06/07/2011
Last updated
06/16/2018
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