| Lewis Avenue LLC | |
|
600 N Lewis St New Iberia LA 70563-2043 | |
| (337) 374-4111 | |
| Not Available |
| Full Name | Lewis Avenue LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 600 N Lewis St, New Iberia, Louisiana |
| Authorized Official Name and Position | Samuel D Huckabee (CEO) |
| Authorized Official Contact | 3184691132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis Avenue LLC Po Box 721931 Norman OK 73070-8473 Ph: (318) 253-8611 | Lewis Avenue LLC 600 N Lewis St New Iberia LA 70563-2043 Ph: (337) 374-4111 |
| NPI Number | 1538547732 |
|---|---|
| Provider Enumeration Date | 05/08/2015 |
| Last Update Date | 05/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538547732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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