Provider Demographics
NPI:1538555396
Name:HUNT-IRVING, LEWIS MACEO III (MD)
Entity type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:MACEO
Last Name:HUNT-IRVING
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:LEWIS
Other - Middle Name:
Other - Last Name:HUNT-IRVING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9400 ROSLYN DR
Mailing Address - Street 2:
Mailing Address - City:RIVER RIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70123-2049
Mailing Address - Country:US
Mailing Address - Phone:504-452-5444
Mailing Address - Fax:
Practice Address - Street 1:5620 READ BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-3106
Practice Address - Country:US
Practice Address - Phone:504-592-6600
Practice Address - Fax:504-592-6532
Is Sole Proprietor?:No
Enumeration Date:2015-04-08
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA306727207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine