Individual
TIMOTHY JOSEPH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 ARCH ST, SUITE G2, AKRON, OH 44304-1429
(330) 375-4100
(330) 375-4939
Mailing address
525 E MARKET ST, P.O. BOX 2090, AKRON, OH 44304-1619
(330) 996-0347
(330) 996-0359
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-079368
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35-079368
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200372030
—
IN
05
—
2326932
—
OH
05
—
4047746
—
TN
05
—
64048465
—
KY
Enumeration date
04/26/2006
Last updated
12/04/2012
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