Provider Demographics
NPI:1457066425
Name:LEWIS, ERIN (MS, MBA)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:LEWIS
Suffix:
Gender:F
Credentials:MS, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 OAKWOOD LN UNIT 121696
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-6860
Mailing Address - Country:US
Mailing Address - Phone:469-998-5716
Mailing Address - Fax:
Practice Address - Street 1:1817 DOSS CIR REAR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-3415
Practice Address - Country:US
Practice Address - Phone:469-998-5716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty