Individual
MRS. LISA LEWIS DUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
325 EBENEZER ROAD, KNOXVILLE, TN 37923
(865) 670-0988
(865) 670-1991
Mailing address
10700 GALLERANI DRIVE, KNOXVILLE, TN 37922-3106
(865) 966-5931
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1552
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4052217
BCBS
TN
Enumeration date
01/08/2007
Last updated
07/08/2007
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