Individual
DIANE SMITH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
38195 PAT SMITH RD, PEARL RIVER, LA 70452-5629
(985) 788-8568
Mailing address
38195 PAT SMITH RD, PEARL RIVER, LA 70452-5629
(985) 788-8568
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN005252
LA
Other
Enumeration date
06/13/2012
Last updated
11/19/2014
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