Individual
COURTNEY H LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13826 BARTLETT AVE, CLEVELAND, OH 44120
(216) 801-6130
Mailing address
13826 BARTLETT AVE, CLEVELAND, OH 44120
(216) 801-6130
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RU805621
OH
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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