Lewis, Leonard

Lewis, Leonard is an individual health care provider with primary practice located at 2865 Ambassador Caffery Pkwy , Lafayette LA 70506-5944. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lewis, Leonard can be contacted via phone (337) 988-9399.

Contact Information

Primary practice address
2865 Ambassador Caffery Pkwy Lafayette LA 70506-5944
Phone: (337) 988-9399
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4712 Louisiana

Profile Details

NPI number 1699719567
LBN Legal business name Lewis, Leonard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 8th, 2007 - about 19 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 1699719567 NPPES
Louisiana Other 4712 LICENSE NUMBER
Louisiana MEDICAID 1847127 LICENSE NUMBER

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