Individual
MRS. MICHELL KATHERINE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CD, RD
Contact information
Practice address
6330 E 75TH ST, STE 174, INDIANAPOLIS, IN 46250-2781
(317) 296-7730
(317) 545-1877
Mailing address
8888 KEYSTONE XING, STE 1300, INDIANAPOLIS, IN 46240-4600
(317) 296-7730
(317) 545-1877
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001737A
IN
Other
Enumeration date
04/24/2008
Last updated
06/29/2018
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