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Contact Information

LORI L VANDERWEELE, RD, CSP
435 IONIA AVE SW STE A210
GRAND RAPIDS, MI49503-5161
 Phone: 616-486-0385
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for LORI L VANDERWEELE · (Female)

NPI # 1154608578
Status Active
Credentials RD, CSP
Entity Individual
Enumeration date 11/14/2011
Last updated 09/06/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 912475
  • MI License # 912475
  • OH License # 912475
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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