Great Lakes Dietary Counseling, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

947399 Issued in NU

Legal business name

GREAT LAKES DIETARY COUNSELING, LLC

Practice address

36151 Moravian Dr
Clinton Township, MI 48035-1148

Phone

(586) 291-5669

NPI assigned

Jun 27, 2009

Last updated

Jul 28, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Josefine Lampasona, MS, RD

Title

Registered Dietitian

Phone

(586) 291-5669

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1083842116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36151 MORAVIAN DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480351148",
            "telephone_number": "586-291-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36151 MORAVIAN DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480351148",
            "telephone_number": "586-291-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES DIETARY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-27",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "LAMPASONA",
        "authorized_official_first_name": "JOSEFINE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "586-291-5669",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": "947399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Health Service Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.