Individual
STACEE MARIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7853 PACER DR STE 3A, DELAWARE, OH 43015-7571
(614) 764-9955
(614) 792-5086
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125072646
IL
208000000X
Pediatrics Physician
Primary
35.143406
OH
Other
Enumeration date
06/02/2018
Last updated
08/05/2024
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