Individual
JOHN LEWIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4451 BLUEBONNET BLVD STE A, BATON ROUGE, LA 70809-9647
(225) 767-2273
(225) 769-3395
Mailing address
4451 BLUEBONNET BLVD STE A, BATON ROUGE, LA 70809-9647
(225) 767-2273
(225) 769-3395
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6587
LA
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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