Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1144565011 |
---|---|
Provider Name | Dr. Candy R Lewis |
First Address | Dayton, OH 45406-4713 |
Second Address | Beavercreek, OH 45440-1370 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2012 |
Last Update Date | 04/12/2012 |