| Lisa O'sullivan, | |
|
612 9th St, Royal Oak, MI 48067-3144 | |
| (586) 212-1744 | |
| Not Available |
| Full Name | Lisa O'sullivan |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 13 Years |
| Location | 612 9th St, Royal Oak, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225861271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Season Clinical Care PA |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649933565 PECOS PAC ID: 4688015050 Enrollment ID: O20250903003137 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa O'sullivan, 612 9th St, Royal Oak, MI 48067-3144 Ph: (586) 212-1744 | Lisa O'sullivan, 612 9th St, Royal Oak, MI 48067-3144 Ph: (586) 212-1744 |
Amanda Leigh Lavoie, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073 Phone: 248-423-2454 Fax: 248-423-2576 |
Kristin Eis, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1517 Donald Ave, Royal Oak, MI 48073 Phone: 248-345-3150 |
Susan E. Tyson-blackman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-423-2454 Fax: 248-423-2576 |
Sarah Irving, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4949 Coolidge Hwy, Royal Oak, MI 48073 Phone: 248-655-5900 |
Ms. Alyson Miner, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4227 Crooks Rd, Royal Oak, MI 48073 Phone: 586-549-6925 |
Christine Licari, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4949 Coolidge Hwy, Royal Oak, MI 48073 Phone: 248-655-5917 |
Michelle Krueger Kleiman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073 Phone: 248-423-2454 Fax: 248-423-2576 |