Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 024718 | TN |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 024718 | TN |
NPI | 1063575322 |
---|---|
Provider Name | Rani Lewis |
First Address | Memphis, TN 38104-3627 |
Second Address | Memphis, TN 38104-3627 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2006 |
Last Update Date | 20/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4857 | NPI (01) | TX |