Individual
RAVEN R LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 832-4033
(504) 832-5140
Mailing address
1430 TULANE AVE, # 8632, NEW ORLEANS, LA 70112-2632
(504) 896-9233
(504) 896-9861
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
200197
LA
Other
Enumeration date
08/11/2008
Last updated
11/27/2020
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