Individual
JERRY LEWIS LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
19550 N 10TH ST, COVINGTON, LA 70433-8831
(985) 892-3947
(504) 518-5749
Mailing address
19550 N 10TH ST, COVINGTON, LA 70433-8831
(985) 892-3947
(504) 518-5749
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN106035
LA
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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