Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD207376 | LA |
NPI | 1013259258 |
---|---|
Provider Name | Dr. Nicholas William Lewing |
First Address | Lake Charles, LA 70601-5605 |
Second Address | Independence, LA 70443 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2013 |
Last Update Date | 17/03/2018 |