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1538547732
LEWIS AVENUE LLC
NEW IBERIA, LA
NPI
1538547732
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Entity Type
Organization
Authorized Contact
SAMUEL D HUCKABEE
CEO
318-469-1132
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2015-05-08
Last Update Date
2015-05-13
Business Address
LEWIS AVENUE LLC
600 N LEWIS ST
NEW IBERIA, LA 70563-2043
Phone number: 337-374-4111
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Mailing Address
LEWIS AVENUE LLC
PO BOX 721931
NORMAN, OK 73070-8473
Phone number: 318-253-8611
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