Individual
MRS. ANGELA DENISE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
Mailing address
14959 TOWNSEND RD, MOUNDVILLE, AL 35474-6303
(205) 554-2000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1049
AL
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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