Individual
LISA LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
14 W 21ST ST, BAYONNE, NJ 07002-3614
(201) 858-4139
Mailing address
14 W 21ST ST, BAYONNE, NJ 07002-3614
(201) 858-4139
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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