Individual
MESHALL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 COLONIAL DR STE D, BATON ROUGE, LA 70806-6549
(225) 246-2126
Mailing address
1233 E MOUNT PLEASANT RD APT 102, ZACHARY, LA 70791-5930
(225) 301-3910
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20110383
LA
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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