| Lori Van Slembrouck, | |
|
15600 19 Mile Rd, Clinton Twp, MI 48038-3502 | |
| (586) 263-8700 | |
| Not Available |
| Full Name | Lori Van Slembrouck |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 10 Years |
| Location | 15600 19 Mile Rd, Clinton Twp, 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 |
|---|---|---|---|
| 1982368692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Easterseals Morc Health Care, Inc | 9830141670 | 103 |
| Provider Name | Easterseals Morc Health Care, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376526616 PECOS PAC ID: 9830141670 Enrollment ID: O20050221000100 |
| Provider Name | Macomb Oakland Regional Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023199965 PECOS PAC ID: 9133039241 Enrollment ID: O20070221000233 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Van Slembrouck, 15600 19 Mile Rd, Clinton Twp, MI 48038-3502 Ph: () - | Lori Van Slembrouck, 15600 19 Mile Rd, Clinton Twp, MI 48038-3502 Ph: (586) 263-8700 |
Brigitte Elizabeth Manquen, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15600 19 Mile Rd, Clinton Twp, MI 48038 Phone: 248-475-6300 | |
Pamela Glomstead, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 43421 Garfield Rd Ste 203, Clinton Twp, MI 48038 Phone: 586-263-2106 | |
Cornerstone Medical Group Dietitian Medicare: Not Enrolled in Medicare Practice Location: 43750 Garfield Rd, Suite 104, Clinton Twp, MI 48038 Phone: 586-226-6865 Fax: 586-226-6880 | |
Liliana Funk, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 16200 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-263-8776 |