Lewis, Sharon Denise

Lewis, Sharon Denise is an individual health care provider with primary practice located at 3625 Youree Dr , Shreveport LA 71105-2121. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Lewis, Sharon Denise can be contacted via phone (318) 779-1158.

Contact Information

Primary practice address
3625 Youree Dr Shreveport LA 71105-2121
Phone: (318) 779-1158
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1396238994
LBN Legal business name Lewis, Sharon Denise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2018
Last updated Feb 21st, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396238994 NPPES
Louisiana MEDICAID 1760852511

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