Randal Lewis

NPI #1952063398 in Ironton, Ohio

Provider Information

NPI Number: 1952063398
Entity Type: Individual
Name: Randal Lewis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Oct 13, 2021
Last Updated: Oct 13, 2021

Practice Location

Address: 1724 S 3RD ST
City: Ironton
State: Ohio
ZIP Code: 45638-2269
Phone: (740) 479-5135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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