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NPI Code Detail

MEDICARE: MARQUITA LEWIS

MEDICARE:   MARQUITA  LEWIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)LA

General Provider Information

NPI Number : 1194250340
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARQUITA LEWIS
Provider Business Mailing Address
First Line : 1614 E MAIN ST STE D
Second Line :
City : NEW IBERIA
State : LA
Zip : 70560-4056
Country : US
Telephone Number : 337-256-5917
Fax Number :
Provider Business Practice Location Address
First Line : 1614 E MAIN ST STE D
Second Line :
City : NEW IBERIA
State : LA
Zip : 70560-4056
Country : US
Telephone Number : 337-256-5917
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2017
Last Update Date : 06/04/2026

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Directions to “ MARQUITA LEWIS ” Practice Location

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