Organization
JENNIFER A LEWIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LEWIS RDN (OWNER)
(917) 697-1088
Entity
Organization
Contact information
Practice address
2509 PARK AVE STE LLB, SOUTH PLAINFIELD, NJ 07080-5300
(917) 697-1088
Mailing address
815 BERKELEY AVE, PLAINFIELD, NJ 07062-2051
(917) 697-1088
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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