Enid D Lewis, RD in Espanola, NM - Dietitian, Registered

Enid D Lewis, RD is a Dietitian, Registered physician based in Espanola, New Mexico. Enid D Lewis is licensed to practice in New Mexico (license number 525) and her current practice location is 1010 Spruce St, Espanola Hospital, Espanola, New Mexico. She can be reached at her office (for appointments etc.) via phone at (505) 753-7111.

NPI number for Enid D Lewis is 1215066766 and her current mailing address is Po Box 26666, Phs Provider Enrollment, Albuquerque, New Mexico. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215066766.

Contact Information

	Enid D Lewis, RD
	1010 Spruce St, Espanola Hospital, Espanola, NM 87532-2724
	(505) 753-7111
	(505) 753-4438

Physician's Profile

Full Name	Enid D Lewis
Gender	Female
Speciality	Dietitian, Registered
Location	1010 Spruce St, Espanola, New Mexico
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1215066766
Provider Enumeration Date: 03/02/2007
Last Update Date: 04/20/2010

Medical Identifiers

Medical identifiers for Enid D Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215066766	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	525 (New Mexico)	Secondary
133V00000X	Dietitian, Registered	525 (New Mexico)	Primary
133VN1005X	Dietitian, Registered - Nutrition, Renal	525 (New Mexico)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Enid D Lewis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Enid D Lewis, RD Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-5356	Enid D Lewis, RD 1010 Spruce St, Espanola Hospital, Espanola, NM 87532-2724 Ph: (505) 753-7111

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Enid D Lewis, RD - Dietitian, Registered in Espanola, NM