Individual
MS. LISA MARIE MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,R.D.
Contact information
Practice address
3939 VAN HORN RD, TRENTON, MI 48183-4013
(734) 502-8264
(877) 287-7216
Mailing address
3341 22ND ST, WYANDOTTE, MI 48192-6012
(734) 502-8264
(734) 362-7501
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
804989
MI
Other
Enumeration date
11/30/2006
Last updated
10/11/2016
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