Doctor Name: | ALEXANDRA LEWIS |
NPI Number: | 1760748115 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, LD/N |
License Number: | ND6225 |
Business Practice Address: | 2380 3rd St S Jacksonville Beach, FL - 322504023 |
Business Phone Number: | 9042701234 |
Business Fax Number: | |
Mailing Address: | 170 Veracruz Dr Unit 333, PONTE VEDRA BEACH |
State: | FL |
Postal Code: | 320823243 |
Phone Number: | 9046255357 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2012 |
NPI Last Update Date: | 04/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND6225 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |