NPI 1215484175

Carly Lewis, MSRDLD

Practitioner Pediatric Nutrition Registered Dietitian Prosper, TX

Practice location

Address: 4200 W University Dr, Prosper, TX 75078-9805
Phone: (682) 303-4200
Fax: (682) 303-4242
Mailing address: PO Box 733784, Dallas, TX 75373-3784

Registered specialties

Pediatric Nutrition Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133VN1004X Licence DT84424 (TX)

Other Dietitian, Registered providers in Texas →

Registry record

NPI: 1215484175
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Sep 2016
Record last updated: 19 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.