Most Relevant Information
Provider Data
| NPI Number: | 1003356627 |
| Provider Name: | CHRISTIAN LEWIS FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP09235 |
Most Important Dates
| Enumeration Date: | 03/01/2017 |
| Last Updated: | 03/01/2017 |
Provider Practice Location
1322 ELTON RD
SUITE P
JENNINGS
LA
705464100
Practice Location Phone/Fax
| Phone: | 3378242282 |
| Fax: | 3378240058 |
Provider Mailing Location
1322 ELTON RD
SUITE P
JENNINGS
LA
705464100
Provider Mailing Phone/Fax
| Phone: | 3378242282 |
| Fax: | 3378240058 |