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Individual

NICOLAS ALEXANDER LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
120 WHITE ROSE DR, RACELAND, LA 70394-2644
(985) 532-9662
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10324R
LA
225100000X
Physical Therapist
PTH7259
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003819608
GROUP NPI
AL
05
529917620
AL
Enumeration date
10/28/2014
Last updated
01/30/2026
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