Individual provider · Type 1 NPI
Julie Ann Lewis, CFM
Mastectomy Fitter · Lake Charles, LA
NPI number
1770207474
Active
Practice location
3518 Ryan St
Lake Charles, LA 70605-1608
Fax (972) 982-7066
Mailing address
1488 Texas Eastern Rd
Ragley, LA 70657-7005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mastectomy Fitter Primary | 224900000X | C54176 (MD) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 001470-2026.0106 (LA) |
Mastectomy Fitter: An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
About NPI 1770207474
Julie Ann Lewis, CFM's National Provider Identifier is 1770207474, issued on Sep 27, 2022. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in Lake Charles, LA. The record was last updated on Apr 3, 2026.