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Dr.Irving M. Lewis, Podiatrist, INC.

in Beachwood, OH. Organization (NPI-2).

NPI number1184840134
StatusActive
Last updated in NPPESJul 13, 2007

Details

NPI
1184840134
Entity type
Organization (NPI-2)
Legal business name
Dr.Irving M. Lewis, Podiatrist, INC.
Organization subpart
No
Enumeration date
Apr 18, 2007
Last updated
Jul 13, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0131X 36001287LOHYes

Practice location

3609 Park East Dr
#414 North
Beachwood, OH 44122-4331

Phone 216-765-1151 · Fax 216-765-0389

Mailing address

3609 Park East Dr
#414 North
Beachwood, OH 44122-4331

Phone 216-765-1151 · Fax 216-765-0389

Authorized official

Irving M. Lewis
President
2167651151

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