Individual
DONNA J LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDN
Contact information
Practice address
191 N MAIN ST, WELLSVILLE, NY 14895-1150
(585) 593-1100
Mailing address
1373 STATE ROUTE 248, REXVILLE, NY 14877-9511
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
006397-1
NY
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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