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
Phone: (248) 214-4396
Fax: (248) 353-1023
Website:
Health care specialties
| Specialty | Code | License # | 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 4 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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