Organization
ALAN T. LEWIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN THOMAS LEWIS M.D. (MEDICAL DOCTOR)
(228) 864-8049
Entity
Organization
Contact information
Practice address
4421 CHASTANT ST, METAIRIE, LA 70006-2053
(228) 864-8049
(228) 864-7655
Mailing address
1245 42ND AVE, GULFPORT, MS 39501-2666
(228) 864-8049
(228) 864-7655
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD14710R
LA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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