DR. Donald Ray Lewis

NPI #1164897583 in Jackson, Tennessee

Provider Information

NPI Number: 1164897583
Entity Type: Individual
Name: DR. Donald Ray Lewis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Dec 10, 2015
Last Updated: Dec 10, 2015

Practice Location

Address: 244 COATSLAND DR
City: Jackson
State: Tennessee
ZIP Code: 38301-3948
Phone: (731) 422-4642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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