MEDICARE: MARK JOSEPH LEWALLEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1154178325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK JOSEPH LEWALLEN

Provider Business Mailing Address
First Line	:	1515 PARKWOOD RD
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-4719
Country	:	US
Telephone Number	:	216-233-0066
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 PARKWOOD RD
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-4719
Country	:	US
Telephone Number	:	216-233-0066
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2024
Last Update Date	:	05/04/2024

Similar Medicare Providers

1467727008 — MRS. ASHIRA LASDUN APN-C
Practice Location Address:

500 RIVER AVE STE 200
LAKEWOOD, NJ
08701-4719

Practice Phone: 732-884-1800
Practice Fax:

1982218574 — PRIMARY HEALTH SERVICES
Practice Location Address:

500 RIVER AVE STE 200
LAKEWOOD, NJ
08701-4719

Practice Phone: 732-884-1800
Practice Fax:

1245163492 — JAYME LYNN TUEL
Practice Location Address:

15726 CLIFTON BLVD
LAKEWOOD, OH
44107-2488

Practice Phone: 216-414-8891
Practice Fax:

1215860101 — NOVALI THOMAS
Practice Location Address:

1667 ELMWOOD AVE APT 26
LAKEWOOD, OH
44107-4047

Practice Phone: 216-470-7007
Practice Fax: 216-470-7007

1669235412 — DR. GURSHARANJIT SINGH DMD
Practice Location Address:

17117 DETROIT AVE
LAKEWOOD, OH
44107-3622

Practice Phone: 216-221-0300
Practice Fax:

1841124401 — ARIANA PASQUAL
Practice Location Address:

2144 ELDRED AVE
LAKEWOOD, OH
44107-5410

Practice Phone: 330-720-7613
Practice Fax:

Directions to “ MARK JOSEPH LEWALLEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.