Diane Rausch Lewis, MS, RDN, LD

NPI #1740791672 in Star, Idaho

Provider Information

NPI Number
1740791672
Entity Type
Individual
Name
Diane Rausch Lewis, MS, RDN, LD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
MS, RDN, LD
Enumeration Date
Oct 18, 2017
Last Updated
Oct 18, 2017

Practice Location

Address
9950 W PATMORE CT
City
Star
State
Idaho
ZIP Code
83669-5961
Phone
(208) 994-8658

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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