| NPI | 1275762494 |
|---|---|
| Former Name | CAROLYN LADORN LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0215614) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH pn121157) |
| 163W00000X Registered Nurse (Licence: OH 360076) | |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2023-11-06 |