| NPI | 1811014608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE LEWIS Owner 740-264-7064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36-00-2864) |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2011-02-16 |