Healthcare Provider Details

I. General information

NPI: 1962327783
Provider Name (Legal Business Name): MRS. LINDSEY TAYLOR LEWIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6965 CUMBERLAND GAP PKWY
HARROGATE TN
37752-8245
US

IV. Provider business mailing address

3032 RIVERSIDE SPRINGS DR
LONDON KY
40744-8157
US

V. Phone/Fax

Practice location:
  • Phone: 606-260-7040
  • Fax:
Mailing address:
  • Phone: 606-260-7040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1166897
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: