Provider Demographics
NPI:1154033322
Name:R & J LEWIS LLC
Entity type:Organization
Organization Name:R & J LEWIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CERTIFIED FITTER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:CFM
Authorized Official - Phone:972-982-7066
Mailing Address - Street 1:1488 TEXAS EASTERN RD
Mailing Address - Street 2:
Mailing Address - City:RAGLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70657-7005
Mailing Address - Country:US
Mailing Address - Phone:337-842-3837
Mailing Address - Fax:
Practice Address - Street 1:340 N HIGHWAY 171 STE F
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70611-5345
Practice Address - Country:US
Practice Address - Phone:972-982-7066
Practice Address - Fax:972-982-7066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1770207474OtherINDIVIDUAL NPI