Organization
KEUNSUN LEW MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET M STUART (MGR)
(419) 281-4959
Entity
Organization
Contact information
Practice address
24 E WHITNEY AVE, SHELBY, OH 44875-1282
(419) 281-4959
(419) 281-8767
Mailing address
PO BOX 769, 1109 EASTERN AVE, ASHLAND, OH 44805-0769
(419) 281-4959
(419) 281-8767
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0386989
—
OH
Enumeration date
06/28/2006
Last updated
09/08/2008
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