| Ricardo L. Lewis | |
|
168 W 2nd St Xenia OH 45385-3526 | |
| (937) 416-4477 | |
| Not Available |
| Full Name | Ricardo L. Lewis |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 168 W 2nd St, Xenia, Ohio |
| Authorized Official Name and Position | Ricardo Lamont Lewis (LICDC) |
| Authorized Official Contact | 9374164477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo L. Lewis 168 W 2nd St Xenia OH 45385-3526 Ph: (937) 416-4477 | Ricardo L. Lewis 168 W 2nd St Xenia OH 45385-3526 Ph: (937) 416-4477 |
| NPI Number | 1730535733 |
|---|---|
| Provider Enumeration Date | 05/09/2016 |
| Last Update Date | 05/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730535733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 101016 (Ohio) | Primary |
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