Provider Demographics
NPI:1629352349
Name:LEWIS MITRIONE, CAMERON JEAN (BA)
Entity Type:Individual
Prefix:MS
First Name:CAMERON
Middle Name:JEAN
Last Name:LEWIS MITRIONE
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8087 CINCINNATI DAYTON RD
Mailing Address - Street 2:UNIT B
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-2003
Mailing Address - Country:US
Mailing Address - Phone:513-777-8111
Mailing Address - Fax:513-887-7532
Practice Address - Street 1:8087 CINCINNATI DAYTON RD
Practice Address - Street 2:UNIT B
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2003
Practice Address - Country:US
Practice Address - Phone:513-777-8111
Practice Address - Fax:513-887-7532
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist