# RENA C LEWIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265444293
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WP0200X | Pediatric Optometrist | S599TA190 | AL | Yes |

## Other

- **Enumeration date:** 08/11/2006
- **Last updated:** 02/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 925493 | BLOCK VISION | AL |
| 01 | — | U34042 | HEALTHSPRING OF AL | AL |