Provider Demographics
NPI:1285336032
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
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
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:972-982-7066
Mailing Address - Fax:972-982-7066
Practice Address - Street 1:340 HWY 171
Practice Address - Street 2:STE F
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70611-7061
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:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies