Individual
MR. LEWIS W STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 25TH AVE N, SUITE 602, NASHVILLE, TN 37203-1606
(615) 312-0600
(615) 320-3259
Mailing address
210 25TH AVE N, SUITE 602, NASHVILLE, TN 37203-1606
(615) 312-0600
(615) 320-3259
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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