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Individual

MRS. SUSAN ELLEN LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
114 WHITWELL ST, QUINCY MEDICAL CENTER, FOOD AND NUTRITION DEPT, QUINCY, MA 02169-1870
(617) 376-5386
(671) 376-7605
Mailing address
114 WHITWELL ST, QUINCY MEDICAL CENTER, FOOD AND NUTRITION DEPT, QUINCY, MA 02169-1870
(617) 376-5386
(671) 376-7605

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
1281
MA
133V00000X
Registered Dietitian
1281
MA
133VN1005X
Renal Nutrition Registered Dietitian
1281
MA
133VN1006X
Metabolic Nutrition Registered Dietitian
1281
MA

Other

Enumeration date
10/25/2006
Last updated
09/11/2025
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