| Doctor Name: | DONNA J LEWIS |
| NPI Number: | 1235325481 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CDN |
| License Number: | 006397-1 |
| Business Practice Address: | 191 N Main St Wellsville, NY - 148951150 |
| Business Phone Number: | 5855931100 |
| Business Fax Number: | |
| Mailing Address: | 1373 State Route 248, REXVILLE |
| State: | NY |
| Postal Code: | 148779511 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/21/2007 |
| NPI Last Update Date: | 09/21/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | 006397-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |