Individual
BRENDA LEE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 E SMOKERISE DR, WADSWORTH, OH 44281-8277
(330) 336-5301
(330) 336-5308
Mailing address
242 GREAT OAKS TRL APT C, WADSWORTH, OH 44281-9483
(330) 336-5301
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
011427
OH
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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