Individual
DR. LINDY HATFIELD LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O D
Contact information
Practice address
1000A VANN DR, JACKSON, TN 38305-6001
(731) 668-3018
(731) 668-9158
Mailing address
PO BOX 509, HUMBOLDT, TN 38343-0509
(731) 668-3018
(731) 668-9158
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD1607
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3943221
—
TN
01
—
4105789
BLUE CROSS BLUE SHIELD
TN
01
—
9810
TLC MEMPHIS MANAGED CARE
TN
01
—
9861183
CIGNA HEALTHCARE
—
Enumeration date
05/31/2006
Last updated
01/18/2008
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