Lewis PC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

TN0578 Issued in TN

Legal business name

LEWIS PC

Practice address

2801 Wilma Rudolph Blvd
Suite 665
Clarksville, TN 37040-5011

Phone

(931) 552-4455

Fax

(931) 552-8999

NPI assigned

Nov 24, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven Lewis, LDO, MSM, MBA

Title

Manager

Phone

(931) 552-4455

Specialties & licenses 1

Addresses

Other names 1

• Dr Lewis and Associates Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1619205002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 WILMA RUDOLPH BLVD",
            "address_2": "SUITE 665",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405011",
            "telephone_number": "931-552-4455",
            "fax_number": "931-552-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 WILMA RUDOLPH BLVD",
            "address_2": "SUITE 665",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405011",
            "telephone_number": "931-552-4455",
            "fax_number": "931-552-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "931-552-4455",
        "authorized_official_credential": "LDO, MSM, MBA"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TN",
            "license": "TN0578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Lewis and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittney Wilkinson Lesser, FNP
• Tommy Lester, PTA
• Moana Christina Leuluai
• Brittney Diane Levsey, DMD
• Rachel Levy-Olomucki, M.D.
• Charity Celeste Lewis
• Jennifer Joan Lewis, RBT
• Joanna Akilah Abad Lewis
• Rita Roberta Lewis
• Carolyn S Liangco

• Preferred Provider Organization in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Preferred Provider Organization in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.