Most Relevant Information
Provider Data
| NPI Number: | 1003528886 |
| Provider Name: | JACQUELINE LETHEMON RDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 1082991 |
Most Important Dates
| Enumeration Date: | 12/23/2022 |
| Last Updated: | 11/28/2023 |
Provider Practice Location
29200 SCHOOLCRAFT RD
LIVONIA
MI
481502228
Practice Location Phone/Fax
| Phone: | 7345231050 |
| Fax: |
Provider Mailing Location
9037 PERRIN ST
LIVONIA
MI
481505903
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |