Most Relevant Information
Provider Data
| NPI Number: | 1003653569 |
| Provider Name: | SHAWNA NICOLE LEWIS STNA |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/11/2024 |
| Last Updated: | 07/11/2024 |
Provider Practice Location
8101 HOLLYBROOK CT
CINCINNATI
OH
452394638
Practice Location Phone/Fax
| Phone: | 5139952233 |
| Fax: |
Provider Mailing Location
8101 HOLLYBROOK CT
CINCINNATI
OH
452394638
Provider Mailing Phone/Fax
| Phone: | 5139522336 |
| Fax: |