| Doctor Name: | MS. MARY ANN LEWIS |
| NPI Number: | 1063559979 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 326667-1 |
| Business Practice Address: | 335 Parrish St Canandaigua, NY - 144241728 |
| Business Phone Number: | 5853932888 |
| Business Fax Number: | 5853969275 |
| Mailing Address: | 335 Parrish St, CANANDAIGUA |
| State: | NY |
| Postal Code: | 144241728 |
| Phone Number: | 5853932888 |
| Fax Number: | 5853969275 |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | 326667-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |