# DR. DANIEL SCOTT LEWIS

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

## Provider details

- **NPI number:** 1902821069
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 43801 | TN | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 43801 | TN | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | 43801 | TN | — |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1507353 | — | TN |
| 05 | — | 5910234 | — | NC |
| 01 | — | P00721555 | RAIL ROAD MEDICARE | TN |