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1366773400
MICHAEL JEFF LEWIS
SHREVEPORT, LA
NPI
1366773400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA TAP002239)
Enumeration Date
2010-01-28
Last Update Date
2010-01-28
Business Address
Mr. MICHAEL JEFF LEWIS CRNA
905 CRESCENT RD
SHREVEPORT, LA 71107-3908
Phone number: 318-617-5563
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Mailing Address
Mr. MICHAEL JEFF LEWIS CRNA
PO BOX 1350
MINDEN, LA 71058-1350
Phone number: 318-617-5563
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