IndividualActive
Carly Lewis, M.S., R.D., L.D.
NPI 1215484175 · Pediatric Nutrition Registered Dietitian · Prosper, TX
Provider details
- NPI number
- 1215484175
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- M.S., R.D., L.D.
- Sex
- Female
- Sole proprietor
- No
- License
- DT84424 (TX)
Practice location
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
Registry dates
- Enumerated
- 2016-09-07
- Last updated
- 2021-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.