Individual
DESMOND LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
109 WALLACE BROUSSARD RD STE 300, CARENCRO, LA 70520-6355
(337) 896-9355
Mailing address
PO BOX 2118, OPELOUSAS, LA 70571-2118
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
224077
LA
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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