Provider Demographics
NPI:1457598922
Name:LEWIS, LEAH M (DDS)
Entity type:Individual
Prefix:DR
First Name:LEAH
Middle Name:M
Last Name:LEWIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:
Other - Last Name:ZWEIHORN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6425 STAGE RD STE 6
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134-3731
Mailing Address - Country:US
Mailing Address - Phone:901-695-1176
Mailing Address - Fax:901-729-7485
Practice Address - Street 1:6425 STAGE RD STE 6
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-3731
Practice Address - Country:US
Practice Address - Phone:901-695-1176
Practice Address - Fax:901-729-7485
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0547371223E0200X
TN123801223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics