Individual
CELESTE MARIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN/APMHNP
Contact information
Practice address
201 HOLIDAY BLVD, SUITE 120, COVINGTON, LA 70433-5088
(985) 624-2942
(985) 231-1373
Mailing address
201 HOLIDAY BLVD, SUITE 120, COVINGTON, LA 70433-5088
(985) 624-2942
(985) 231-1373
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP06714
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2197291
—
LA
Enumeration date
04/26/2012
Last updated
09/28/2015
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