Individual
DEBRA DIANE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
555 JUSTIS DR, GREENEVILLE, TN 37745-4288
(423) 783-7965
(833) 908-2073
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3205
TN
207Q00000X
Family Medicine Physician
34.011210
OH
207Q00000X
Family Medicine Physician
58004527
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103055
—
OH
05
—
7100320360
—
KY
Enumeration date
05/17/2011
Last updated
05/16/2025
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