Individual
MS. VEDA ELAINE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,LMT
Contact information
Practice address
193 OLD FERRY LANDING RD, MARKSVILLE, LA 71351-4821
(318) 305-5967
(318) 253-6463
Mailing address
176 OLD FERRY LANDING RD, MARKSVILLE, LA 71351-4862
(318) 305-5967
(318) 253-6463
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN034595
LA
163WH1000X
Hospice Registered Nurse
RN034595
LA
163WM1400X
Nurse Massage Therapist (NMT)
Primary
LA1364-01
LA
163WP0000X
Pain Management Registered Nurse
RN034595-LA1364-01
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9211
BLUE CROSS/BLUE SHIELD
—
Enumeration date
10/16/2006
Last updated
01/20/2009
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