Individual
DR. JEANNE LYNNE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
403 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6034
(423) 431-7047
(423) 979-0569
Mailing address
403 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6034
(423) 431-7047
(423) 979-0569
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
43602
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508051772
—
VA
05
—
1511958
—
TN
01
—
P00877916
RR MEDICARE
—
Enumeration date
09/11/2007
Last updated
02/02/2024
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