NPI 1215664982

Frederick Lewis

Practitioner Driver Marrero, LA

Practice location

Address: 7407 Claremont Dr, Marrero, LA 70072-1141
Phone: (504) 505-4055

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 009388415 (LA)

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Registry record

NPI: 1215664982
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2022
Record last updated: 3 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.