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Organization

LEWIS MEDICAL SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT LEE LEWIS JR. (CEO/OWNER)
(985) 969-6755
Entity
Organization

Contact information

Practice address
15254 LEWIS ROAD, ROSELAND, LA 70456
(985) 969-6755
(225) 612-5937
Mailing address
P O BOX 1207, ROSELAND, LA 70456
(985) 969-6755
(225) 612-5937

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
35800420K
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1475360
LA
Enumeration date
10/18/2006
Last updated
08/22/2020
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