| NPI | 1134519044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JEFF LEWIS C RN A 318-617-5563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP06051) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |