Provider Demographics
NPI:1225113715
Name:LEWIS, SARA KATHRYN (MS, LCGC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:KATHRYN
Last Name:LEWIS
Suffix:
Gender:F
Credentials:MS, LCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 TVC
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-0001
Mailing Address - Country:US
Mailing Address - Phone:615-322-3000
Mailing Address - Fax:
Practice Address - Street 1:719 THOMPSON LN STE 25000
Practice Address - Street 2:ONE HUNDRED OAKS, BREAST CENTER
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-4683
Practice Address - Country:US
Practice Address - Phone:615-343-0738
Practice Address - Fax:615-343-0746
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNGC0000000041170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS