| Doctor Name: | BRENT LEWIS |
| NPI Number: | 1033585427 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | APN0000020059 |
| Business Practice Address: | 408 Virginia St Paris, TN - 382425341 |
| Business Phone Number: | 7316420521 |
| Business Fax Number: | |
| Mailing Address: | 408 Virginia St, Po Box 30 PARIS |
| State: | TN |
| Postal Code: | 382425341 |
| Phone Number: | 7316420521 |
| Fax Number: | |
| NPI Enumeration Date: | 08/19/2015 |
| NPI Last Update Date: | 08/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | APN0000020059 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |