Individual
KEUNSUN S LEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1109 EASTERN AVE, ASHLAND, OH 44805-4022
(419) 281-4020
(419) 281-8767
Mailing address
1109 EASTERN AVE, ASHLAND, OH 44805-4022
(419) 281-4020
(419) 281-8767
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35032485
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0386989
—
OH
Enumeration date
10/01/2005
Last updated
10/31/2007
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