Individual
SARA A KIDD-LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-2542
(612) 904-4651
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-6005
(612) 630-8242
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0911
MN
Other
Enumeration date
12/28/2006
Last updated
12/04/2007
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