Individual
KRISTINE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1145 N MAYFIELD DR, CLARION, PA 16214-6149
(330) 232-9463
Mailing address
1145 N MAYFIELD DR, CLARION, PA 16214-6149
(330) 232-9463
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DN004352
PA
Other
Enumeration date
08/14/2008
Last updated
05/17/2013
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