Individual
LAURIE GARY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
151 SANDIFER LN, PINEVILLE, LA 71360-5971
(318) 443-7131
(318) 442-2920
Mailing address
151 SANDIFER LN, PINEVILLE, LA 71360-5971
(318) 443-7131
(318) 442-2920
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1948
LA
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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