Lewis, Latasha M
Lewis, Latasha M is an individual health care provider with primary practice located at 200 Henry Clay Ave , New Orleans LA 70118-5798. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Lewis, Latasha M can be contacted via phone (504) 896-3952.Contact Information
Primary practice address
200 Henry Clay Ave
New Orleans LA 70118-5798
Phone: (504) 896-3952
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 9700462 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 01061173A | Indiana |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 2010-00434 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 320750 | Louisiana |
Profile Details
| NPI number | 1396872933 |
|---|---|
| LBN Legal business name | Lewis, Latasha M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Jul 31st, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396872933 | NPPES |
| Mississippi | MEDICAID | 04205361 | |
| Mississippi | MEDICAID | 5916120 |
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