Individual
MARGIE AILEEN GERENA-LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3545 LINCOLN WAY E STE B, MASSILLON, OH 44646-8624
(513) 834-7063
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
35.081831
OH
207RX0202X
Medical Oncology Physician
35081831
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200099490
—
IN
05
—
2506309
—
OH
05
—
4047832
—
TN
05
—
64084502
—
KY
01
—
P00894855
RAILROAD MEDICARE
OH
Enumeration date
04/21/2006
Last updated
11/01/2024
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