Individual
LEWIS NORRIS DEBARGE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2830 CALDER ST, BEAUMONT, TX 77702-1809
(800) 893-9698
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
645868
TX
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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