Provider Demographics
NPI:1770733701
Name:PARENTI LEWIS, MICHELLE YVONNE (MS, RDN, LDN)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:YVONNE
Last Name:PARENTI LEWIS
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1216 US HIGHWAY 1
Mailing Address - Street 2:STE A
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-3537
Mailing Address - Country:US
Mailing Address - Phone:561-596-9654
Mailing Address - Fax:
Practice Address - Street 1:1216 US HIGHWAY 1
Practice Address - Street 2:STE A
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-3537
Practice Address - Country:US
Practice Address - Phone:561-596-9654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-26
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND4531133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered