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Individual

MISS CORI ELIZABETH LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
190 PLUM ST, CHILLICOTHE, OH 45601-2325
(740) 649-3546
Mailing address
190 PLUM ST, CHILLICOTHE, OH 45601-2325
(740) 649-3546

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 144449-M-IV
OH

Other

Enumeration date
06/15/2011
Last updated
06/15/2011
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