Organization
CHAD E LEWIS MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
CHAD E LEWIS MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD E LEWIS MD (MD)
(317) 377-0010
Entity
Organization
Contact information
Practice address
812 BROADWAY ST., MINDEN, LA 71055-3330
(318) 377-0010
(318) 377-3127
Mailing address
PO BOX 490, MINDEN, LA 71058-0490
(318) 377-0010
(318) 377-3127
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2119893
—
LA
Enumeration date
04/13/2010
Last updated
01/11/2011
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