Individual
LISA LAUREN WITTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CDCES
Contact information
Practice address
3631 BAYOU DR, WEST BLOOMFIELD, MI 48323-1904
(248) 214-4396
(248) 353-1023
Mailing address
3631 BAYOU DR, WEST BLOOMFIELD, MI 48323-1904
(248) 214-4396
(248) 353-1023
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
806083
MI
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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