Provider Demographics
NPI:1376523910
Name:HARRIS, LEWIS W (MD)
Entity Type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:W
Last Name:HARRIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1932 ALCOA HWY
Mailing Address - Street 2:STE 360
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1527
Mailing Address - Country:US
Mailing Address - Phone:865-524-1869
Mailing Address - Fax:865-544-6533
Practice Address - Street 1:2100 W CLINCH AVE
Practice Address - Street 2:STE 110
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-2219
Practice Address - Country:US
Practice Address - Phone:865-524-1869
Practice Address - Fax:865-544-6533
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2016-02-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN26914207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3091661Medicaid
TNE86220Medicare UPIN
TN3091662Medicare PIN