Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 34-011763 | OH |
NPI | 1659515575 |
---|---|
Provider Name | Dr. Adrian Anthony Lewis |
First Address | Toledo, OH 43606-3845 |
Second Address | Toledo, OH 43606-3845 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2009 |
Last Update Date | 15/02/2016 |