IndividualActive
Andrea Lasichak, MS, RD, CDE
NPI 1619093044 · Metabolic Nutrition Registered Dietitian · Gregory, MI
Provider details
- NPI number
- 1619093044
- Entity type
- Individual
- Primary specialty
- Metabolic Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, CDE
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
8135 Stonehedge Rd
Gregory, MI 48137-9753
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.