Provider Demographics
NPI:1205836723
Name:HILL, LEWIS WAYNE JR (MD)
Entity type:Individual
Prefix:
First Name:LEWIS
Middle Name:WAYNE
Last Name:HILL
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:337-470-0080
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:4540 AMBASSADOR CAFFERY PKWY STE A110
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6929
Practice Address - Country:US
Practice Address - Phone:337-470-0080
Practice Address - Fax:337-470-6370
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA020863207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1929301Medicaid
LA5U724Medicare ID - Type Unspecified
LA1929301Medicaid