Individual
DANIEL LEVAR LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
773 MARIE AVE, AKRON, OH 44314-3155
(330) 564-3107
Mailing address
773 MARIE AVE, AKRON, OH 44314-3155
(330) 564-3107
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RJ740286
OH
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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