Individual
GARRY WILLIAM LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2135 3RD ST, NEW ORLEANS, LA 70113-1745
(504) 701-4011
Mailing address
2135 3RD ST, NEW ORLEANS, LA 70113-1745
(504) 701-4011
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
11418
LA
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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