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Individual

DR. LAURA JEAN LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3454 OAK ALLEY CT STE 200, TOLEDO, OH 43606-1370
(419) 460-0413
(844) 443-0075
Mailing address
3454 OAK ALLEY CT STE 200, TOLEDO, OH 43606-1370
(419) 460-0413
(844) 443-0075

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
E 0004386
OH
103T00000X
Psychologist
Primary
6498
OH
163W00000X
Registered Nurse
180943
OH

Other

Enumeration date
09/23/2009
Last updated
01/11/2021
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