Individual
TARA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
81 BALL PARK RD, HARLAN, KY 40831-1701
(606) 573-8100
Mailing address
3320 TATES CREEK RD, 204, LEXINGTON, KY 40502-3400
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
47146
KY
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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