Provider Demographics
NPI:1235211830
Name:SAWRIE, LUCY WILLIAMS (DDS)
Entity Type:Individual
Prefix:DR
First Name:LUCY
Middle Name:WILLIAMS
Last Name:SAWRIE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 BERRY SPRING PATH
Mailing Address - Street 2:
Mailing Address - City:SIGNAL MOUNTAIN
Mailing Address - State:TN
Mailing Address - Zip Code:37377-2780
Mailing Address - Country:US
Mailing Address - Phone:423-886-1274
Mailing Address - Fax:
Practice Address - Street 1:1229 TAFT HWY
Practice Address - Street 2:
Practice Address - City:SIGNAL MOUNTAIN
Practice Address - State:TN
Practice Address - Zip Code:37377-3251
Practice Address - Country:US
Practice Address - Phone:423-624-8217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8391122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN9180010Medicaid