Individual
DR. CARMEN DIANE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
2319 SW 320TH ST, FEDERAL WAY, WA 98023-2514
(206) 679-0782
Mailing address
4813 38TH STREET CT NE, TACOMA, WA 98422-2468
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60066879
WA
163WL0100X
Lactation Consultant (Registered Nurse)
L-87735
WA
171M00000X
Case Manager/Care Coordinator
728095
TX
Other
Enumeration date
06/03/2013
Last updated
03/31/2026
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