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Courtney Lewis, CRNA

Registered Nurse in Tyler, TX. Individual provider (NPI-1).

NPI number1457094328
StatusActive
Last updated in NPPESSep 22, 2022

Details

NPI
1457094328
Entity type
Individual (NPI-1)
Name
Courtney Lewis
Credential
CRNA
Sex
Female
Sole proprietor
No
Enumeration date
Apr 18, 2022
Certification date
Sep 22, 2022
Last updated
Sep 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse786794TXYes
367500000X Nurse Anesthetist, Certified Registered1094911TX

Practice location

801 E Dawson St.
Tyler, TX 75701

Phone 903-593-8441

Mailing address

16686 Meadow Crest Dr
Lindale, TX 75771-5263

Phone 903-520-4043

Other practice locations

800 E Dawson St
Tyler, TX 75701-2036

Phone 903-525-2668

8389 S Broadway Ave
Tyler, TX 75703-5408

Phone 903-606-6500

1720 S Beckham Ave Ste 104
Tyler, TX 75701-4437

Phone 903-606-3900

910 E Houston St Ste 400
Tyler, TX 75702-8368

Phone 903-606-4268

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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