Individual
BETH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
225 CARLTON DAVIDSON LN, COAL GROVE, OH 45638-2924
(740) 533-0648
(740) 353-1662
Mailing address
225 CARLTON DAVIDSON LN, COAL GROVE, OH 45638-2924
(740) 533-0648
(740) 353-1662
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.106054
OH
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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