Individual
DR. ANITA MARIE LEWIS SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1323 W 3RD ST, DAYTON, OH 45402-6714
(419) 350-2411
Mailing address
PO BOX 3, FREMONT, OH 43420-0003
(419) 350-2411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35066407L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0919788
—
OH
Enumeration date
12/15/2005
Last updated
02/24/2009
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