Individual
LISA M KEREKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
555 LINN ST, ALLEGAN, MI 49010-1524
(269) 686-4251
Mailing address
555 LINN ST, STE 1, ALLEGAN, MI 49010-1524
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
891977
MI
Other
Enumeration date
02/15/2013
Last updated
03/20/2014
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