Individual provider · Type 1 NPI
Amanda Lane Lewis, FNP
Family Nurse Practitioner · Shreveport, LA
NPI number
1053726752
Active
Practice location
2508 Bert Kouns Industrial Loop Ste 105
Shreveport, LA 71118-3175
Fax (318) 212-5674
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP07873 (LA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1053726752
Amanda Lane Lewis, FNP's National Provider Identifier is 1053726752, issued on Jun 23, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shreveport, LA. The record was last updated on Apr 25, 2023.