Individual
MCKENNA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2551 N CLARK ST STE 400, CHICAGO, IL 60614-7725
(651) 470-3866
Mailing address
8516 CAMPBELL AVE, INVER GROVE HEIGHTS, MN 55076-5131
(651) 270-5718
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5465
MN
133V00000X
Registered Dietitian
LD007539
GA
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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