Individual
KOURTNEY L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201
(318) 966-4190
Mailing address
211 LEWIS LN, WEST MONROE, LA 71291-8771
(318) 355-3396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP05530
LA
Other
Enumeration date
07/30/2008
Last updated
05/25/2023
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