Individual
NIKENYA D LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 PINES RD APT 19D, SHREVEPORT, LA 71129-4454
(318) 465-5971
Mailing address
8100 PINES RD APT 19D, SHREVEPORT, LA 71129-4454
(318) 465-5971
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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