Individual
MRS. MARY M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
406 W FERTITTA BLVD, LEESVILLE, LA 71446-4649
(337) 238-6410
(337) 238-6447
Mailing address
406 W FERTITTA BLVD, LEESVILLE, LA 71446-4649
(337) 238-6410
(337) 238-6447
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN031908
LA
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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