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Individual

LOIS ONERVA SCZOMAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED DIETITIAN

Contact information

Practice address
36475 FIVE MILE RD STE 412, LIVONIA, MI 48154-1971
(734) 655-2868
(734) 655-4254
Mailing address
23850 BUCKINGHAM ST, DEARBORN, MI 48128-1632
(313) 300-6969

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
NONE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
461823
MI
Enumeration date
11/11/2022
Last updated
11/11/2022
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