Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | TRN8754 | FL |
NPI | 1053510586 |
---|---|
Provider Name | James Michael Lewis |
First Address | Knoxville, TN 37920 |
Second Address | Knoxville, TN 37920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2007 |
Last Update Date | 18/05/2011 |