Individual
ROBERTA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 634-2773
Mailing address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 634-2773
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
028
WY
Other
Enumeration date
10/28/2013
Last updated
10/28/2013
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