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1881785830
TIMOTHY CLYDE LEWIS
WEST MONROE, LA
NPI
1881785830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP05042)
Enumeration Date
2006-09-27
Last Update Date
2007-09-12
Business Address
-- TIMOTHY CLYDE LEWIS FNP
206 BELL LN # C D
WEST MONROE, LA 71291-6300
Phone number: 318-396-3800
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Mailing Address
-- TIMOTHY CLYDE LEWIS FNP
67 QUAIL RIDGE DR
MONROE, LA 71203-9622
Phone number: 318-372-8925
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