# TERESA LYNN LEWIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477578615
- **Gender:** F
- **Credential:** FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 71001192A | IN | — |
| 363L00000X | Nurse Practitioner | 71001192A | IN | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 06/06/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200880950 | — | IN |