Individual
LISA E LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K0730
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046KV
BCBS GROUP
TX
05
—
047946102
—
TX
01
—
1164541967
FORT WORTH GROUP NPI
—
01
—
1710006598
KELLER GROUP NPI
—
01
—
8K6666
BCBS
TX
Enumeration date
10/10/2006
Last updated
03/31/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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