Reisman, Lewis

Reisman, Lewis is an individual health care provider with primary practice located at 1501 Kings Hwy Suite 101, Shreveport LA 71103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Nephrology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Reisman, Lewis can be contacted via phone (318) 675-8631.

Contact Information

Primary practice address
1501 Kings Hwy Suite 101 Shreveport LA 71103
Phone: (318) 675-8631
Fax: (318) 675-8634
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X MA62698 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.202441 Louisiana
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X MD.202441 Louisiana
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 202441 Louisiana

Profile Details

NPI number 1467537357
LBN Legal business name Reisman, Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated May 12th, 2011 - about 15 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 1467537357 NPPES
Louisiana MEDICAID 1330698
Louisiana MEDICAID 6911307

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