Organization
JEFFERSON LINER JR & DOROTHY LEWIS PTRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA H FORREST (OFFICE MANAGER)
(985) 542-1364
Entity
Organization
Contact information
Practice address
120 N CATE ST, HAMMOND, LA 70401-3357
(985) 542-1364
(985) 542-8679
Mailing address
PO BOX 2308, HAMMOND, LA 70404-2308
(985) 542-1364
(985) 542-8679
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1309559
—
LA
Enumeration date
09/25/2007
Last updated
11/05/2008
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