Individual
DR. JOHN MARSHALL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 LANTANA RD STE 202, CROSSVILLE, TN 38555
(931) 484-5141
(931) 484-5620
Mailing address
100 LANTANA RD STE 202, CROSSVILLE, TN 38555-1903
(931) 484-5141
(931) 484-5620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO02570
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q006079
—
TN
Enumeration date
05/18/2011
Last updated
04/27/2021
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