Individual
LYDIA M DYSART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5333 MCAULEY DR, YPSILANTI, MI 48197, MI 48197
(734) 712-7242
Mailing address
5333 MCAULEY DR, YPSILANTI, MI 48197-1014
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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