Individual
MS. EMILY T LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
100 WASON AVE, SUITE 200, SPRINGFIELD, MA 01107-1119
(413) 733-9666
(413) 750-3432
Mailing address
PO BOX 70266, SPRINGFIELD, MA 01107-1577
(413) 788-6530
(413) 750-8027
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
387
MA
Other
Enumeration date
10/28/2005
Last updated
01/15/2010
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