Farron Latraz Lewis Jr.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

012408886 Issued in LA

Practice address

30193 Lazy K Dr
Lacombe, LA 70445-4021

Phone

(318) 437-9344

NPI assigned

Jul 20, 2024

Last updated

Jul 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1902644131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30193 LAZY K DR",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704454021",
            "telephone_number": "318-437-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30193 LAZY K DR",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704454021",
            "telephone_number": "318-437-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "FARRON",
        "middle_name": "LATRAZ",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-20",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "012408886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacombe Family Pharmacy LLC
• Lacombe Family Pharmacy LLC
• Lindsey Michael Ladd, DO
• Nantawadee Lee
• Amanda R Leonard
• Shelby Lindsey
• Lmchh PCP LLC
• John Brisbane Logan, MD
• Louisiana Heart Hospital Proffesion Fee, LLC
• Louisiana Medical Center and Heart Hospital, LLC (Louisiana Heart Hospital)

• Non-emergency Medical Transport (VAN) in Lacombe, LA
• Providers in Lacombe, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; 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.