Organization · Type 2 NPI

Prudent-Lifestyles Nutrition Services, Inc.

Metabolic Nutrition Registered Dietitian · Lathrup Village, MI

NPI number 1124228275 Active

Practice location

17570 San Rosa Blvd
Lathrup Village, MI 48076-2715

Fax (248) 559-5081

Specialties and licenses

TaxonomyCodeLicense
Metabolic Nutrition Registered Dietitian Primary 133VN1006XNone listed

Metabolic Nutrition Registered Dietitian: A registered dietitian who achieves specialized competency in metabolic nutrition.

Another provider at this address

About NPI 1124228275

Prudent-Lifestyles Nutrition Services, Inc.'s National Provider Identifier is 1124228275, issued on Jul 18, 2007. The primary taxonomy on file is Metabolic Nutrition Registered Dietitian (133VN1006X), and the practice location is in Lathrup Village, MI. The record was last updated on Aug 6, 2007.