Individual
LISA MISLEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
20710 STALYBRIDGE DR, MACOMB, MI 48044-1388
(586) 530-3025
Mailing address
20710 STALYBRIDGE DR, MACOMB, MI 48044-1388
(586) 530-3025
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86022901
MI
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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