Provider Demographics
NPI:1053566216
Name:LEWIS, LESTER JR (MD)
Entity type:Individual
Prefix:DR
First Name:LESTER
Middle Name:
Last Name:LEWIS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 6TH AVE N FL 4
Mailing Address - Street 2:RACHEL JACKSON BUILDING
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37243-1400
Mailing Address - Country:US
Mailing Address - Phone:615-741-1000
Mailing Address - Fax:615-532-3065
Practice Address - Street 1:320 6TH AVE N FL 4
Practice Address - Street 2:RACHEL JACKSON BUILDING
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37243-1400
Practice Address - Country:US
Practice Address - Phone:615-741-1000
Practice Address - Fax:615-532-3065
Is Sole Proprietor?:No
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD35268207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine