Individual
EILEEN C LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTER DIETITIAN
Contact information
Practice address
117 E 19TH ST, ROSWELL, NM 88201-5151
(575) 627-7000
Mailing address
3821 CAMINO SACRAMENTO NE, ALBUQUERQUE, NM 87111-3913
(505) 298-1296
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
NM
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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