Individual
SYNNEVA HAGEN-LILLEVIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CD
Contact information
Practice address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 587-5844
Mailing address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 587-5844
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
9562690-4901
UT
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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