Individual
AUTUMN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
22751 EL PRADO, APT 5306, RANCHO SANTA MARGARITA, CA 92688-3814
(303) 916-8319
Mailing address
22751 EL PRADO, APT 5306, RANCHO SANTA MARGARITA, CA 92688-3814
(303) 916-8319
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1078795
CA
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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