Individual
MICHAEL R LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4900 GLENWAY AVE, CINCINNATI, OH 45238-3916
(513) 435-0379
Mailing address
2934 GLENWAY AVE APT 4, CINCINNATI, OH 45204-1752
(832) 917-9480
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.005108
OH
Other
Enumeration date
06/01/2024
Last updated
06/04/2024
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