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Mary Susan Lonergan, RD

Dietitian, Registered in Livonia, MI. Individual provider (NPI-1).

NPI number1497908024
StatusActive
Last updated in NPPESOct 28, 2008

Details

NPI
1497908024
Entity type
Individual (NPI-1)
Name
Mary Susan Lonergan
Credential
RD
Sex
Female
Sole proprietor
No
Enumeration date
Oct 28, 2008
Last updated
Oct 28, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

17557 Westbrook Dr
Livonia, MI 48152-5708

Phone 734-502-7289 · Fax 734-464-4811

Mailing address

17557 Westbrook Dr
Livonia, MI 48152-5708

Phone 734-502-7289 · Fax 734-464-4811

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