Individual
CRYSTAL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1512 SOUTH ST, PHILADELPHIA, PA 19146-1636
(267) 981-6153
Mailing address
1512 SOUTH ST, PHILADELPHIA, PA 19146-1636
(267) 981-6153
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005621
PA
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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