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Individual

LEWIS C JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6121 FERN AVE UNIT 128, SHREVEPORT, LA 71105-4166
(318) 798-8088
Mailing address
6121 FERN AVE, UNIT 128, SHREVEPORT, LA 71105-4166

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
011448
LA
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
11448
LA

Other

Enumeration date
08/19/2005
Last updated
11/29/2017
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