Individual
MRS. LYNNE DEBRA MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED,RD,LDN
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-1001
(413) 794-4962
Mailing address
43 ARBOR LN, AGAWAM, MA 01001-3033
(413) 794-4962
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1551
MA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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