Most Relevant Information
Provider Data
| NPI Number: | 1003032798 |
| Provider Name: | DIANNE LACEY LEWIS M.C.D., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SLP003612 |
Most Important Dates
| Enumeration Date: | 04/18/2007 |
| Last Updated: | 02/24/2013 |
Provider Practice Location
27 SHOAL CREEK FLS
SIGNAL MOUNTAIN
TN
373773141
Practice Location Phone/Fax
| Phone: | 4234684096 |
| Fax: |
Provider Mailing Location
27 SHOAL CREEK FLS
SIGNAL MOUNTAIN
TN
373773141
Provider Mailing Phone/Fax
| Phone: | 4234684096 |
| Fax: |