Organization
GREAT LAKES DIETARY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOSEFINE LAMPASONA MS, RD (REGISTERED DIETITIAN)
(586) 291-5669
Entity
Organization
Contact information
Practice address
36151 MORAVIAN DR, CLINTON TOWNSHIP, MI 48035-1148
(586) 291-5669
Mailing address
36151 MORAVIAN DR, CLINTON TOWNSHIP, MI 48035-1148
(586) 291-5669
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
947399
—
Other
Enumeration date
06/27/2009
Last updated
07/28/2009
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