OrganizationActive
Prudent-Lifestyles Nutrition Services, Inc.
NPI 1124228275 · Metabolic Nutrition Registered Dietitian · Lathrup Village, MI
Provider details
- NPI number
- 1124228275
- Entity type
- Organization
- Primary specialty
- Metabolic Nutrition Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Tonja Stallings, Dietitian(248) 866-4967
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
17570 San Rosa Blvd
Lathrup Village, MI 48076-2715
Phone: (248) 866-4967
Fax: (248) 559-5081
Approximate (ZIP-level) locationGet directions
Mailing address
17570 San Rosa Blvd
Lathrup Village, MI 48076-2715
Registry dates
- Enumerated
- 2007-07-18
- Last updated
- 2007-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.