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Contact Information

GRANT J EWING
524 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA70601-5725
 Phone: 337-491-7709
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Student in an Organized Health Care Education/Training Program

390200000X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for GRANT J EWING · (Male)

NPI # 1023978392
Status Active
Credentials
Entity Individual
Enumeration date 11/17/2025
Last updated 04/20/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 245400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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