Individual
KEVIN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
29000 CENTER RIDGE RD, WESTLAKE, OH 44145-5219
(815) 474-4170
Mailing address
29000 CENTER RIDGE RD, WESTLAKE, OH 44145-5219
(440) 827-5531
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.014138
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2017
Last updated
06/07/2021
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