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NPI Code Detail

MEDICARE: LAKEN LEWIS

MEDICARE: LAKEN 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
11835G0303XGeriatric PharmacistPST.021108LA

General Provider Information

NPI Number : 1982004594
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAKEN LEWIS
Provider Business Mailing Address
First Line : 3353 UNIVERSITY PKWY
Second Line :
City : LEESVILLE
State : LA
Zip : 71446-9041
Country : US
Telephone Number : 337-392-3815
Fax Number : 337-392-3890
Provider Business Practice Location Address
First Line : 3353 UNIVERSITY PKWY
Second Line :
City : LEESVILLE
State : LA
Zip : 71446-9041
Country : US
Telephone Number : 337-392-3815
Fax Number : 337-392-3890
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2014
Last Update Date : 05/10/2023

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Directions to “ LAKEN LEWIS ” Practice Location

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