Provider Demographics
NPI:1710852751
Name:LEWIS, JOANN ELIZABETH
Entity type:Individual
Prefix:
First Name:JOANN
Middle Name:ELIZABETH
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 1:332 GROVE STREET
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45135
Mailing Address - Country:US
Mailing Address - Phone:937-205-4825
Mailing Address - Fax:
Practice Address - Street 1:332 GROVE STREET
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:OH
Practice Address - Zip Code:45135
Practice Address - Country:US
Practice Address - Phone:937-205-4825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide