Individual
DR. DORETTE F LEWIS-SENIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
163WN1003X
Nutrition Support Registered Nurse
461148
NY
174H00000X
Health Educator
Primary
—
—
175F00000X
Naturopath
000302
CT
Other
Enumeration date
05/31/2011
Last updated
10/14/2015
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