Individual
LYDIA DEE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4845 MAIN ST, SUITE D, ZACHARY, LA 70791-3943
(225) 761-5200
(225) 754-5063
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15313R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09823702
—
MS
05
—
1175064
—
LA
01
—
841703313
BENEFIT MANAGEMENT
LA
01
—
H3655
BLUE CROSS BLUE SHIELD
LA
Enumeration date
09/20/2006
Last updated
05/03/2017
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