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Individual

DR. CHRISTOPHER YOUNG LEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1850 GAUSE BLVD E, SUITE 201, SLIDELL, LA 70461-5442
(985) 649-5825
(985) 645-0884
Mailing address
1113 CRYSTAL CT, SLIDELL, LA 70461-5093
(985) 639-8265

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10231R
LA
174400000X
Specialist
14529
MS
208VP0014X
Interventional Pain Medicine Physician
MD.10231R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
173801000
WORKERS COMP
LA
Enumeration date
04/17/2006
Last updated
11/06/2020
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