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1518450105
AMANDA MICHELLE LEWIS
SHREVEPORT, LA
NPI
1518450105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA AP09963)
Enumeration Date
2018-06-08
Last Update Date
2018-06-22
Business Address
AMANDA MICHELLE LEWIS FNP-C
1453 E BERT KOUN LOOP STE 112
SHREVEPORT, LA 71105-6810
Phone number: 318-798-9400
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Mailing Address
AMANDA MICHELLE LEWIS FNP-C
PO BOX 51008
SHREVEPORT, LA 71135-1008
Phone number: 318-798-9400
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