Provider Demographics
NPI:1992211676
Name:SWAIN, LOIS J (APRN, FNP)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:J
Last Name:SWAIN
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 293
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:LA
Mailing Address - Zip Code:70639-0293
Mailing Address - Country:US
Mailing Address - Phone:337-423-6695
Mailing Address - Fax:
Practice Address - Street 1:506 S 6TH ST STE A
Practice Address - Street 2:
Practice Address - City:LEESVILLE
Practice Address - State:LA
Practice Address - Zip Code:71446-4483
Practice Address - Country:US
Practice Address - Phone:337-239-9041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-18
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN086707363LS0200X
LAAP09743363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LS0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchool