Individual
MRS. THERESA A LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 626-6868
(518) 626-5678
Mailing address
1 FAIRWAY LN, SCHENECTADY, NY 12304-2505
(518) 312-7479
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
919776
—
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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