Ms Andrea Jan Lasichak, MS, RD, CDE is a
Dietitian, Registered - Nutrition, Metabolic based in Gregory, Michigan. Ms Andrea Jan Lasichak is licensed to practice in * (Not Available) (license number ) and her current practice location is
8135 Stonehedge Rd, Gregory, Michigan. She can be reached at her office (for appointments etc.) via phone at
(734) 433-1615.
NPI number for Ms Andrea Jan Lasichak is 1619093044 and her current mailing address is 8135 Stonehedge Rd, Gregory, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619093044.
Healthcare Provider's Profile
Full Name | Ms Andrea Jan Lasichak |
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Gender | Female |
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Speciality | Dietitian, Registered - Nutrition, Metabolic |
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Location | 8135 Stonehedge Rd, Gregory, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619093044
- Provider Enumeration Date: 03/21/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Andrea Jan Lasichak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619093044 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133VN1006X | Dietitian, Registered - Nutrition, Metabolic | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Andrea Jan Lasichak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Andrea Jan Lasichak, MS, RD, CDE 8135 Stonehedge Rd, Gregory, MI 48137-9753 Ph: (734) 433-1615 | Ms Andrea Jan Lasichak, MS, RD, CDE 8135 Stonehedge Rd, Gregory, MI 48137-9753 Ph: (734) 433-1615 |
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