Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. HAZEL IRENE LEWIS, R.D.
ActivePediatric Nutrition · LAFAYETTE, IN
Registration Details
- NPI Number
- 1194052365
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 9, 2009 (16.449220521773 yrs)
- Last Updated
- Nov 9, 2009
- License
-
37000715A (IN)
Practice Information
- Address
-
1125 LOGAN AVELAFAYETTE, IN, 479051829Browse IN providers · Browse ZIP 47905
- Phone
- 7654746858
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.