Individual
ALYSON ELIZABETH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
340 STEELES RD, BRISTOL, TN 37620-9532
(423) 282-9011
(423) 282-0035
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363AM0700X
Medical Physician Assistant
6622
TN
363AS0400X
Surgical Physician Assistant
Primary
6622
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q103327
—
TN
Enumeration date
02/08/2018
Last updated
12/01/2025
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