Individual
ANNE LYNNETTE TUCKER- LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRS
Contact information
Practice address
1989 W BROAD ST, COLUMBUS, OH 43223-1101
(614) 278-0170
Mailing address
40 S JAMES RD, COLUMBUS, OH 43213-1696
(614) 743-1192
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
APS.004442
OH
Other
Enumeration date
11/14/2017
Last updated
09/25/2023
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