Individual
LISA MAROUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
39555 W 10 MILE RD, SUITE 302, NOVI, MI 48375-2950
(248) 426-7200
(248) 426-7335
Mailing address
39555 W 10 MILE RD, SUITE 302, NOVI, MI 48375-2950
(248) 426-7200
(248) 426-7335
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
954207
CDR
MI
Enumeration date
08/17/2010
Last updated
08/17/2010
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