Chad E Lewis MD a Professional Medical Corporation

Organization Active NPI Colon & Rectal Surgery Physician · Minden, LA

NPI 1487970778 · NPPES record last updated Jan 11, 2011

Key facts

NPI
1487970778
Entity type
Organization (NPI type 2)
Primary specialty
Colon & Rectal Surgery Physician 208C00000X
Legal business name
CHAD E LEWIS MD A PROFESSIONAL MEDICAL CORPORATION
Practice address
812 Broadway St.
Minden, LA 71055-3330
Phone
(318) 377-0010
Fax
(318) 377-3127
NPI assigned
Apr 13, 2010
Organization subpart
No

Authorized official

Name
Dr. Chad E Lewis, MD
Title
MD
Phone
(317) 377-0010

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208C00000X Yes

Addresses

Primary practice location

812 Broadway St.
Minden, LA 71055-3330

Mailing address

PO Box 490
Minden, LA 71058-0490
Phone (318) 377-0010

Other identifiers

IdentifierTypeStateIssuer
2119893MedicaidLA

Other providers in Minden, LA

All providers in Minden, LA · Colon & Rectal Surgery Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.