Individual
TIMOTHY CLYDE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
206 BELL LN # C D, WEST MONROE, LA 71291-6300
(318) 396-3800
(318) 396-3800
Mailing address
67 QUAIL RIDGE DR, MONROE, LA 71203-9622
(318) 372-8925
(318) 396-3800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP05042
LA
Other
Enumeration date
09/27/2006
Last updated
09/12/2007
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