Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. ANDREA JAN LASICHAK, MS, RD, CDE
Active Sole ProprietorMS. ANDREA JAN LASICHAK, MS, RD, CDE is a Metabolic Nutrition healthcare provider located in GREGORY, Michigan. NPI 1619093044 is currently active in the NPPES registry. Verify at CMS.
Metabolic Nutrition · GREGORY, MI
Registration Details
- NPI Number
- 1619093044
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 21, 2007 (19.353805062148 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
8135 STONEHEDGE RDGREGORY, MI, 481379753Browse MI providers · Browse ZIP 48137
- Phone
- 7344331615
- Primary Specialty
-
Metabolic Nutrition
133VN1006X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.