Individual
BRENDA H LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710
(330) 438-7430
(330) 580-5542
Mailing address
2600 SIXTH ST SW, CANTON, OH 44710
(330) 438-7430
(330) 580-5542
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35068562
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170103
—
OH
Enumeration date
03/22/2006
Last updated
05/23/2013
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