Healthcare Provider Details

I. General information

NPI: 1225113715
Provider Name (Legal Business Name): SARA KATHRYN LEWIS M.S., L.C.G.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 07/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 THOMPSON LN STE 25000 ONE HUNDRED OAKS, BREAST CENTER
NASHVILLE TN
37204-4683
US

IV. Provider business mailing address

3601 TVC
NASHVILLE TN
37232-0001
US

V. Phone/Fax

Practice location:
  • Phone: 615-343-0738
  • Fax: 615-343-0746
Mailing address:
  • Phone: 615-322-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberGC0000000041
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: