Individual
SUSAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., C.N.
Contact information
Practice address
17924 140TH AVE NE STE 230, WOODINVILLE, WA 98072
(206) 920-1973
Mailing address
PO BOX 872, WOODINVILLE, WA 98072-0872
(206) 920-1973
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU60494244
WA
Other
Enumeration date
08/22/2014
Last updated
08/22/2018
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