Provider Demographics
NPI:1356673495
Name:LEWIS, FLORENCE I
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:I
Last Name:LEWIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FLORENCE
Other - Middle Name:
Other - Last Name:CHEEVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:521 LOWELL DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43610-1614
Mailing Address - Country:US
Mailing Address - Phone:419-244-3676
Mailing Address - Fax:
Practice Address - Street 1:521 LOWELL DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43610-1614
Practice Address - Country:US
Practice Address - Phone:419-244-3676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-30
Last Update Date:2010-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN214126163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse