Individual
MR. CASEY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
305 E MISSISSIPPI AVE, RUSTON, LA 71270-3905
(318) 202-3706
(318) 202-3707
Mailing address
1000 CHINABERRY DR STE 900, BOSSIER CITY, LA 71111-2455
(318) 202-3706
(318) 202-3707
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
LA
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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