| Doctor Name: | MARSHA E LEWIS |
| NPI Number: | 1164738217 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP, RN |
| License Number: | NP-07635 |
| Business Practice Address: | 68353 Bannock Rd Saint Clairsville, OH - 439509736 |
| Business Phone Number: | 7406959344 |
| Business Fax Number: | 7406957777 |
| Mailing Address: | 16 W Long St, COLUMBUS |
| State: | OH |
| Postal Code: | 432152815 |
| Phone Number: | 6142250980 |
| Fax Number: | 6142250986 |
| NPI Enumeration Date: | 08/27/2010 |
| NPI Last Update Date: | 08/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | NP-07635 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |