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Organization

DERMATOLOGY ASSOCIATES INC. APMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIRGINIA P LEWIS M.D. (PRESIDENT)
(318) 322-3535
Entity
Organization

Contact information

Practice address
324 CIRCLE DRIVE, WEST MONROE, LA 71291-5308
(318) 322-3535
Mailing address
324 CIRCLE DRIVE, WEST MONROE, LA 71291-5308
(318) 322-3535

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
024992
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1423238
LA
Enumeration date
04/03/2007
Last updated
10/25/2010
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