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DR. LEWIS REISMAN MD NPI 1467537357


NPI Information

NPI: 1467537357
Provider Name: DR. LEWIS REISMAN, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1501 KINGS HWY
SUITE 101
SHREVEPORT, LA
ZIP 71103
Phone: (318) 675-8631
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DR. Lewis Reisman, MD is a pediatrics in Shreveport, LA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Lewis Reisman, MD NPI is 1467537357. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1501 KINGS HWY
SUITE 101
SHREVEPORT, LA
ZIP 71103
Phone: (318) 675-8631
Fax: (318) 675-8634

The enumeration date for this NPI number is 10/26/2006 and was last updated on 5/12/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0210XPediatricsPediatric Nephrology202441LOUISIANANo
22080P0210XPediatricsPediatric NephrologyMD.202441LOUISIANANo
32080P0210XPediatricsPediatric NephrologyMA62698NEW JERSEYNo
4208000000XPediatricsMD.202441LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B78246MEDICARE UPIN
26911307MEDICAIDNEW JERSEY
3529111MEDICARE PINNEW JERSEY
44N446CQ62MEDICARE PINLOUISIANA
51330698MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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