Individual
JOHN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
744 E SWON AVE, SAINT LOUIS, MO 63119-4228
(877) 996-9677
Mailing address
PO BOX 190128, SAINT LOUIS, MO 63119-6128
(877) 996-9677
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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