Individual
AMBER LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1057 PAUL MAILLARD RD, STE. D-1900, LULING, LA 70070-4349
(985) 308-1604
(985) 308-1605
Mailing address
PO BOX 4176, HOUMA, LA 70361-4176
(985) 872-5864
(985) 872-0317
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP08185
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2389009
—
LA
Enumeration date
04/17/2015
Last updated
06/09/2015
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