Individual
DEJON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 MAGNOLIA ST, HOUMA, LA 70360-6304
(888) 879-7215
Mailing address
420 MAGNOLIA ST, HOUMA, LA 70360-6304
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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