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Individual
JOHN GREGORY LEWIS
Active
Individual
JOHN GREGORY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000136709
TN
367500000X
Certified Registered Nurse Anesthetist
1084336
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1772364
—
LA
01
—
51526516
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/07/2006
Last updated
09/11/2025
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