ENID D LEWIS

ESPANOLA, NM
NPI1215066766
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: NM  525)
Additional Taxonomies207Q00000X Family Medicine
(Licence: NM  525)
133VN1005X Dietitian, Registered, Nutrition, Renal
(Licence: NM  525)
Enumeration Date2007-03-02
Last Update Date2010-04-20
Business Address
-- ENID D LEWIS RD
1010 SPRUCE ST ESPANOLA HOSPITAL
ESPANOLA, NM 87532-2724
Phone number: 505-753-7111
Mailing Address
-- ENID D LEWIS RD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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