Individual
DR. JOHN EDGAR LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 MEDICAL PARK BLVD, SUITE 103, PINEVILLE, LA 71360-8428
(318) 484-2951
(318) 484-2951
Mailing address
65 MEDICAL PARK BLVD, SUITE 103, PINEVILLE, LA 71360-8428
(318) 484-2951
(318) 484-2951
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
3019
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1970271
—
LA
Enumeration date
09/12/2006
Last updated
07/08/2007
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