Doctor Name: | MRS. JOSEFINE LAMPASONA EVOLA |
NPI Number: | 1447488572 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD |
License Number: | 947399 |
Business Practice Address: | 25710 Kelly Rd Suite 3 Roseville, MI - 480664959 |
Business Phone Number: | 5862915669 |
Business Fax Number: | |
Mailing Address: | 22201 Moross, Suite 150 DETROIT |
State: | MI |
Postal Code: | 48236 |
Phone Number: | 3138868787 |
Fax Number: | 3138868084 |
NPI Enumeration Date: | 06/27/2009 |
NPI Last Update Date: | 09/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 947399 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |