| Doctor Name: | MRS. DIANNE LACEY LEWIS |
| NPI Number: | 1003032798 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.C.D., CCC-SLP |
| License Number: | SP0000004940 |
| Business Practice Address: | 27 Shoal Creek Fls Signal Mountain, TN - 373773141 |
| Business Phone Number: | 4234684096 |
| Business Fax Number: | |
| Mailing Address: | 27 Shoal Creek Fls, SIGNAL MOUNTAIN |
| State: | TN |
| Postal Code: | 373773141 |
| Phone Number: | 4234684096 |
| Fax Number: | |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 02/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP0000004940 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |