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Individual

MRS. JULIE ANN LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFM

Contact information

Practice address
3518 RYAN ST, LAKE CHARLES, LA 70605-1608
(337) 761-5525
(972) 982-7066
Mailing address
1488 TEXAS EASTERN RD, RAGLEY, LA 70657-7005
(337) 842-3837

Taxonomy

Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
C54176
MD
332B00000X
Durable Medical Equipment & Medical Supplies
001470-2026.0106
LA

Other

Enumeration date
09/27/2022
Last updated
04/03/2026
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