Individual
DR. GLORIA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 20TH ST, SUITE 606, KNOXVILLE, TN 37916-1809
(865) 546-8040
(865) 541-2787
Mailing address
501 20TH ST, SUITE 606, KNOXVILLE, TN 37916-1809
(865) 546-8040
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15675
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100029368
PHP TENNCARE
TN
05
—
3018190
—
TN
01
—
4087779
BLUECARE
TN
01
—
P00168927
TRAVELERS MEDICARE
TN
Enumeration date
03/09/2006
Last updated
06/17/2010
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