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Individual

MRS. SHARON LEIGH LEWIS-HACKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN, LD, CDE

Contact information

Practice address
1540 E ARLINGTON BLVD, GREENVILLE, NC 27858-5870
(252) 364-2806
(252) 364-2863
Mailing address
2609 WEST ARLINGTON BLVD, SUITE 106, GREENVILLE, NC 27834-3796
(252) 689-6303
(252) 689-6304

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
9
SC
133V00000X
Registered Dietitian
Primary
L002396
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1822R
BCBS NC
NC
Enumeration date
07/08/2009
Last updated
06/02/2022
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