Provider Demographics
NPI:1003536673
Name:LEWING, KATHERINE EKES (DNP)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:EKES
Last Name:LEWING
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:LYNN
Other - Last Name:EKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5151 PLANK RD STE 160
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70805-3563
Mailing Address - Country:US
Mailing Address - Phone:225-778-7599
Mailing Address - Fax:
Practice Address - Street 1:5151 PLANK RD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70805-3501
Practice Address - Country:US
Practice Address - Phone:225-778-7599
Practice Address - Fax:844-871-3358
Is Sole Proprietor?:No
Enumeration Date:2022-09-01
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
LA229454363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program