Provider Demographics
NPI:1326310087
Name:LEWIS, APRIL N
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:N
Last Name:LEWIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 W WENGER RD
Mailing Address - Street 2:#37
Mailing Address - City:ENGLEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45322-1902
Mailing Address - Country:US
Mailing Address - Phone:937-279-7707
Mailing Address - Fax:
Practice Address - Street 1:601 W WENGER RD
Practice Address - Street 2:#37
Practice Address - City:ENGLEWOOD
Practice Address - State:OH
Practice Address - Zip Code:45322-1902
Practice Address - Country:US
Practice Address - Phone:937-279-7707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide