Individual
PAMELA DENISE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
154 BLOUNTVILLE BYP, BLOUNTVILLE, TN 37617-4575
(423) 279-2856
(423) 279-2727
Mailing address
154 BLOUNTVILLE BYP, P.O. BOX 630, BLOUNTVILLE, TN 37617-4575
(423) 279-2856
(423) 279-2727
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000070894
TN
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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