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Individual

JEFFREY R LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2051 W CENTRAL AVE, TOLEDO, OH 43606-3948
(419) 291-2051
(419) 479-6952
Mailing address
7045 LIGHTHOUSE WAY, PERRYSBURG, OH 43551-7000
(419) 873-6836
(419) 873-6837

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35051429
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000030933
ANTHEM WWK
OH
01
000000296936
ANTHEM CHS
OH
01
01-04068
UNITED
OH
05
0877047
OH
01
1078435002
CIGNA
OH
01
142072
CARE CHOICES
OH
01
344428256
PHCS
MI
01
344428256080
CARESOURCES
OH
01
4002483
PPOM
MI
01
4002483
AETNA
OH
01
4091
NATIONWIDE
OH
01
6895
HPM
MI
Enumeration date
06/27/2005
Last updated
05/17/2018
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