IndividualActive
Alexandra Lewis, MS, RD, LD/N
NPI 1760748115 · Registered Dietitian · Ponte Vedra, FL
Provider details
- NPI number
- 1760748115
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, LD/N
- Sex
- Female
- Sole proprietor
- Yes
- License
- ND6225 (FL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
74 Forestview Ln
Ponte Vedra, FL 32081-0043
Phone: (904) 625-5357
Approximate (ZIP-level) locationGet directions
Mailing address
74 Forestview Ln
Ponte Vedra, FL 32081-0043
Registry dates
- Enumerated
- 2012-04-10
- Last updated
- 2024-03-15
- Certified
- 2024-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.