Individual
SUZANNE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.,C.D.
Contact information
Practice address
1761 S 500 E, SALT LAKE CITY, UT 84105-2901
(801) 918-5823
Mailing address
1761 S 500 E, SALT LAKE CITY, UT 84105-2901
(801) 918-5823
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6134883-4901
UT
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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