Kasie L Lewis
Private Vehicle in Thibodaux, LA. Individual provider (NPI-1).
NPI number1013772136
StatusActive
Last updated in NPPESFeb 19, 2024
Details
- NPI
- 1013772136
- Entity type
- Individual (NPI-1)
- Name
- Kasie L Lewis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 19, 2024
- Certification date
- Feb 17, 2024
- Last updated
- Feb 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347C00000X | Private Vehicle | 615GHH | LA | Yes |
Practice location
115 Eauclair DrThibodaux, LA 70301-4317
Phone 985-803-5295
Mailing address
115 Eauclair DrThibodaux, LA 70301-4317
Phone 985-803-5295
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