Individual
MRS. DIANA RUSSELL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4422 GENERAL MEYER AVE, SUITE 100, NEW ORLEANS, LA 70131-3588
(504) 361-6165
(504) 361-6250
Mailing address
4422 GENERAL MEYER AVE, SUITE 100, NEW ORLEANS, LA 70131-3588
(504) 361-6165
(504) 361-6250
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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