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Organization

R & J LEWIS LLC

Active
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Organization

R & J LEWIS LLC

Active
Other names
Wonderfully Made Mastectomy Care
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE A LEWIS CFM (OWNER/CERTIFIED FITTER)
(972) 982-7066
Entity
Organization

Contact information

Practice address
340 N HIGHWAY 171 STE F, LAKE CHARLES, LA 70611-5345
(972) 982-7066
(972) 982-7066
Mailing address
1488 TEXAS EASTERN RD, RAGLEY, LA 70657-7005
(337) 842-3837

Taxonomy

Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1770207474
INDIVIDUAL NPI
Enumeration date
12/20/2022
Last updated
12/20/2022
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