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Individual

DR. JENNA ANN LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3619 PARK EAST DR, 306, BEACHWOOD, OH 44122-4330
(216) 292-9150
Mailing address
16706 CHILLICOTHE RD, STE 500, CHAGRIN FALLS, OH 44023-4573
(440) 708-0020
(440) 708-0302

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5504
OH

Other

Enumeration date
09/26/2005
Last updated
10/11/2016
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