Individual
LUCILLE GLAIZE FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD
Contact information
Practice address
35 MICHIGAN ST NE STE 4150, GRAND RAPIDS, MI 49503-2529
(616) 267-2100
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1093280
MI
Other
Enumeration date
12/22/2014
Last updated
06/09/2023
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