Individual
ERROL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6019 WALNUT GROVE, MEMPHIS, TN 38120
(901) 383-8860
(901) 383-1194
Mailing address
PO BOX 2121, MEMPHIS, TN 38159
(901) 383-8860
(901) 383-8985
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17033
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116597
—
MS
05
—
112901007
—
AR
05
—
202505103
—
MO
01
—
300046946
MEDICARE RR
TN
01
—
300083090
MEDICARE RR
MS
05
—
3193970
—
TN
01
—
61464
BCBS
TN
01
—
84845
BCBS
AR
Enumeration date
08/19/2006
Last updated
09/25/2018
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