Lewis Avenue LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LEWIS AVENUE LLC

Practice address

600 N Lewis St
New Iberia, LA 70563-2043

Phone

(337) 374-4111

NPI assigned

May 8, 2015

Last updated

May 13, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Samuel D Huckabee

Title

Ceo

Phone

(318) 469-1132

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1538547732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721931",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730708473",
            "telephone_number": "318-253-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N LEWIS ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632043",
            "telephone_number": "337-374-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS AVENUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "HUCKABEE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-469-1132",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommy Anthony Leleux, PHARM D
• John G Lemieux, MD
• Tyler Lee Lemings
• Aleasha Leonard
• Chelsea Levy
• Carmella Lewis
• Chalyn Lewis, B.S.
• Marquita Lewis
• Robert S Lewis, MD
• LHCG-XII, LLC (Iberia Extended Care Hospital)

• Internal Medicine Physician in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.