Individual
MR. DON R. LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.N.P.
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 983-7211
Mailing address
PO BOX 634760, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN11553
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4114250
BLUE CROSS
TN
01
—
P00308241
RAILROAD MEDICARE
TN
Enumeration date
07/10/2006
Last updated
11/07/2007
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