Organization
GREAT LAKES DIETARY COUNSELING, LLC
Active
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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