Andrea Jan Lasichak, MS, RD, CDE
Individual provider Active NPI Metabolic Nutrition Registered Dietitian · Gregory, MI
NPI 1619093044 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619093044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Metabolic Nutrition Registered Dietitian 133VN1006X
- Practice address
- 8135 Stonehedge Rd
Gregory, MI 48137-9753 - Phone
- (734) 433-1615
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manveen Saluja MD PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | Yes |
Addresses
Primary practice location
8135 Stonehedge Rd
Gregory, MI 48137-9753
Mailing address
8135 Stonehedge Rd
Gregory, MI 48137-9753
Phone (734) 433-1615
Other providers in Gregory, MI
- Benjamin J Bryant
- Empower Care of Michigan
- Cheri Ann Fair
- GLV Innovations
- Lauren Rill LLC
- Lotus Neurorehabilitation, LLC
- Teri Renee Mickevicius
- Annette Marie Pringle
- Lauren Rill
All providers in Gregory, MI · Metabolic Nutrition Registered Dietitian in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.