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
1229646
TX
363LF0000X
Family Nurse Practitioner
Primary
224077
LA
363LF0000X
Family Nurse Practitioner
4058936
KY
363LF0000X
Family Nurse Practitioner
90559
NM
363LF0000X
Family Nurse Practitioner
C-RXN.0104524-C-NP
CO
363LP2300X
Primary Care Nurse Practitioner
901856
NV
Other
Enumeration date
02/15/2022
Last updated
07/17/2026
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