Individual
MRS. SUSAN K LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 SUNSET DR, LA GRANDE, OR 97850-1362
(541) 963-8421
(541) 963-1845
Mailing address
900 SUNSET DR, LA GRANDE, OR 97850-1362
(541) 963-8421
(541) 963-1845
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
OR
Other
Enumeration date
07/18/2006
Last updated
07/09/2007
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