Individual
MS. ANITA KAREN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,LD
Contact information
Practice address
400 VETERANS AVE, NUTRITION AND FOOD SERVICE (120), BILOXI, MS 39531-2410
(228) 523-5838
(228) 523-4508
Mailing address
11229 HELEN DR, GULFPORT, MS 39503-3975
(228) 523-5838
(228) 523-4508
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
479556
MS
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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