Individual
CAROL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4726 MAIN AVE, ASHTABULA, OH 44004
(440) 992-8552
(440) 992-8537
Mailing address
4726 MAIN AVENUE, ASHTABULA, OH 44004
(440) 992-8552
(440) 992-8537
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN084762
OH
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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