Provider Demographics
NPI:1851592703
Name:LEWIS, FLORENCE A (DPH)
Entity Type:Individual
Prefix:MRS
First Name:FLORENCE
Middle Name:A
Last Name:LEWIS
Suffix:
Gender:F
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 HARPETH TRACE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-3147
Mailing Address - Country:US
Mailing Address - Phone:615-352-2926
Mailing Address - Fax:
Practice Address - Street 1:5600 CHARLOTTE PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-3213
Practice Address - Country:US
Practice Address - Phone:615-356-5161
Practice Address - Fax:615-356-5701
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8436183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist