Individual
MATTHEW LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
395 W COUGAR BLVD STE 401, PROVO, UT 84604-3338
(801) 357-7546
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
8691966-4901
UT
Other
Enumeration date
10/15/2015
Last updated
12/05/2025
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