Individual
MRS. VIKKI STEWART LASOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1100 S VAN DYKE RD, BAD AXE, MI 48413-9615
(989) 269-8933
(989) 269-7948
Mailing address
1100 S VAN DYKE RD, BAD AXE, MI 48413-9615
(989) 269-8933
(989) 269-7948
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
602235
IL
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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