Provider Demographics
NPI:1013717552
Name:LEWIS, TRISHA LYNNE DIXON
Entity type:Individual
Prefix:MS
First Name:TRISHA
Middle Name:LYNNE DIXON
Last Name:LEWIS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10828 GABLE DIG LOOP
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:FL
Mailing Address - Zip Code:33576-7408
Mailing Address - Country:US
Mailing Address - Phone:513-484-2029
Mailing Address - Fax:
Practice Address - Street 1:10828 GABLE DIG LOOP
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:FL
Practice Address - Zip Code:33576-7408
Practice Address - Country:US
Practice Address - Phone:513-484-2029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist