Individual
JULIE C LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2131 EAST STATE ST, ATHENS, OH 45701
(740) 589-3100
(740) 592-7342
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 589-3100
(740) 589-3151
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
24226
WV
207W00000X
Ophthalmology Physician
Primary
35.092596
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000263285
OHIO MEDICAID UNISON
OH
01
—
2963584
OH MEDICAID MOLINA
OH
05
—
2963584
—
OH
01
—
310917085212
OHIO MEDICAID CARESOURCE
OH
05
—
3810015008
—
WV
01
—
P00810142
RAILROAD MEDICARE
—
Enumeration date
06/25/2007
Last updated
04/22/2025
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