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Individual

OSCAR A LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
975 E. THIRD STREET, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN107152
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN11239
TN
367500000X
Certified Registered Nurse Anesthetist
RN127955
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
109573
AL
05
1512182
TN
05
177060840A
GA
05
3634675
TN
01
4216397
BLUE CROSS BLUE SHIELD OF TN
TN
05
8053405
NC
01
P00785186
RAILROAD MEDICARE
TN
Enumeration date
02/27/2006
Last updated
04/30/2010
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