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Jessica Lewallen

NPI 1578991360 · on the registry since 2013 · sole proprietor

Practice

Address
122 W Center St
Fostoria, OH 44830
Phone
(419) 435-0204
Fax
(419) 436-9846
Clinicians at this address
9

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-10-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio