Individual
WILLIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18049 FOREST HILLS DR, PRAIRIEVILLE, LA 70769-3067
(504) 239-8905
Mailing address
18049 FOREST HILLS DR, PRAIRIEVILLE, LA 70769-3067
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11883
LA
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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