Individual
JOHN GREGORY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4370 W MAIN ST, DOTHAN, AL 36305
(334) 793-5000
(334) 615-8419
Mailing address
PO BOX 6907, DOTHAN, AL 36302
(334) 793-5000
(334) 615-8419
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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