Individual
DOMINIQUE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 LASALLE ST, NEW ORLEANS, LA 70115-5709
(504) 518-6383
Mailing address
3301 LASALLE ST, NEW ORLEANS, LA 70115-5709
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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