Individual
KRISTEN OBLAD LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
210 SHARON RD, SUITE B, CIRCLEVILLE, OH 43113-1498
(740) 477-7200
(740) 477-8349
Mailing address
1300 KING AVE, APT 1, COLUMBUS, OH 43212-2252
(614) 309-6902
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5879
OH
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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