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1053726752
AMANDA LANE LEWIS
SHREVEPORT, LA
NPI
1053726752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP07873)
Enumeration Date
2014-06-23
Last Update Date
2023-04-25
Business Address
Mrs. AMANDA LANE LEWIS FNP
2508 BERT KOUNS INDUSTRIAL LOOP STE 105
SHREVEPORT, LA 71118-3175
Phone number: 318-797-2328
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Mailing Address
Mrs. AMANDA LANE LEWIS FNP
2508 BERT KOUNS INDUSTRIAL LOOP STE 105
SHREVEPORT, LA 71118-3175
Phone number: 318-797-2328
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