Healthcare Provider Details

I. General information

NPI: 1205836723
Provider Name (Legal Business Name): LEWIS WAYNE HILL JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2005
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4540 AMBASSADOR CAFFERY PKWY STE A110
LAFAYETTE LA
70508-6929
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 337-470-0080
  • Fax: 337-470-6370
Mailing address:
  • Phone: 337-470-0080
  • Fax: 225-765-9196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number020863
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: