person
Mrs. Amanda Lane Lewis, FNP
Family Nurse Practitioner in Shreveport, Louisiana
NPI 1053726752

Amanda Lane Lewis is a Family Nurse Practitioner based in Shreveport, LA and is specialized in Family. Amanda Lane Lewis practices in Shreveport, LA and has the professional credentials of FNP. The NPI Number for Amanda Lane Lewis is 1053726752 and holds a License No. AP07873 (Louisiana).

The current practice location address for Amanda Lane Lewis is 2508 Bert Kouns Industrial Loop Ste 105, Shreveport, LA and can be reached out via phone at 318-797-2328 and via fax at 318-212-5674. You can also correspond with Amanda Lane Lewis through the mailing address at 2508 BERT KOUNS INDUSTRIAL LOOP STE 105, SHREVEPORT, LA - 71118-3175 (mailing address contact number: 318-797-2328).

Location: 2508 Bert Kouns Industrial Loop Ste 105, Shreveport, LA, 71118-3175
person
Provider Profile Details
NPI Number
1053726752
Provider Name
Amanda Lane Lewis
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2508 Bert Kouns Industrial Loop Ste 105, Shreveport, LA, 71118-3175
Phone Number
318-797-2328
Fax Number
318-212-5674
Provider Enumeration Date
06/23/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2401521 05 LA
institution
Provider Business Practice Location Address Details
Address
2508 Bert Kouns Industrial Loop Ste 105
City
State
Zip
71118-3175
Phone Number
318-797-2328
Fax Number
318-212-5674
person
Provider Business Mailing Address Details
Address
2508 Bert Kouns Industrial Loop Ste 105
City
State
Zip
71118-3175
Phone Number
318-797-2328
Fax Number
318-212-5674
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP07873 (Louisiana)
Definition
Definition to come...
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