Wittenberg, Lisa Lauren

Wittenberg, Lisa Lauren is an sole proprietor health care provider with primary practice located at 3631 Bayou Dr , West Bloomfield MI 48323-1904. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wittenberg, Lisa Lauren can be contacted via phone (248) 214-4396.

Contact Information

Primary practice address
3631 Bayou Dr West Bloomfield MI 48323-1904
Fax: (248) 353-1023
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 806083 Michigan

Profile Details

NPI number 1538803127
LBN Legal business name Wittenberg, Lisa Lauren
Credentials RDN, CDCES
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2022
Last updated Apr 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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