Organization
COMFORT ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JEFF LEWIS CRNA (CRNA)
(318) 617-5563
Entity
Organization
Contact information
Practice address
9423 ACADIANA PLACE BLVD, SHREVEPORT, LA 71115-3704
(318) 617-5563
Mailing address
9423 ACADIANA PLACE BLVD, SHREVEPORT, LA 71115-3704
(318) 617-5563
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP06051
LA
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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