Individual
VIRGINIA P LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 CIRCLE DR, WEST MONROE, LA 71291-5308
(318) 322-3535
(318) 322-3560
Mailing address
324 CIRCLE DR, WEST MONROE, LA 71291-5308
(318) 322-3535
(318) 322-3560
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
024992
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1423238
—
LA
Enumeration date
03/20/2006
Last updated
10/06/2010
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