Individual
KEITH MAURICE LEWIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4530 FORSYTHE AVE, DAYTON, OH 45406-3207
(937) 251-1865
Mailing address
4530 FORSYTHE AVE, DAYTON, OH 45406-3207
(937) 251-1865
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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