Individual
JACOB D LEWIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4109 FLORIDA AVE APT C, KENNER, LA 70065-2189
(504) 292-8824
Mailing address
4109 FLORIDA AVE APT C, KENNER, LA 70065-2189
(504) 292-8824
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/27/2024
Last updated
04/29/2024
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