Individual
IRIS VIRGINIA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
578 BLOOMFIELD AVE APT C, MONTCLAIR, NJ 07042-2805
(732) 535-3423
Mailing address
578 BLOOMFIELD AVE APT C, MONTCLAIR, NJ 07042-2805
(732) 535-3423
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-125069
NJ
Other
Enumeration date
02/03/2019
Last updated
02/03/2019
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