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Individual

MR. FREDDIE LEWIS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
507 AUBURN DR, CARENCRO, LA 70520-4502
(337) 321-1654
Mailing address
507 AUBURN DR, CARENCRO, LA 70520-4502
(337) 321-1654

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)
Primary
344600000X
Taxi
007495527
LA

Other

Enumeration date
01/25/2023
Last updated
01/25/2023
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