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Individual

MS. DEBORAH LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., R.D.N., L.D.N.

Contact information

Practice address
2599 KNEFF CEMETERY LN, CLAY CITY, IL 62824-2232
(618) 322-4545
Mailing address
2599 KNEFF CEMETERY LN, CLAY CITY, IL 62824-2232
(618) 322-4545

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164002036
IL

Other

Enumeration date
11/17/2014
Last updated
11/17/2014
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