Individual
KELSEN MARIE LEWARCHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-2595
(216) 444-2200
Mailing address
206 BETH DR, SEVILLE, OH 44273-9506
(330) 635-6521
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007412RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/13/2020
Last updated
01/21/2022
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