Lewis, Fredrick Austin

Lewis, Fredrick Austin is an sole proprietor health care provider with primary practice located at 22 Pin Oak Ln , Hammond LA 70401-8201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lewis, Fredrick Austin can be contacted via phone (985) 429-8412.

Contact Information

Primary practice address
22 Pin Oak Ln Hammond LA 70401-8201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 010125 Louisiana

Profile Details

NPI number 1629299730
LBN Legal business name Lewis, Fredrick Austin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629299730 NPPES
Louisiana MEDICAID 1110124

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