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Michelle Lila Blitstein, MSRD
Metabolic Nutrition Registered Dietitian in Charlotte, North Carolina
NPI 1801079298

Michelle Lila Blitstein is a Metabolic Nutrition Registered Dietitian based in Charlotte, NC and is specialized in Nutrition, Metabolic. Michelle Lila Blitstein practices in Charlotte, NC and has the professional credentials of MSRD. The NPI Number for Michelle Lila Blitstein is 1801079298 and holds a License No. L001566 (North Carolina).

The current practice location address for Michelle Lila Blitstein is 4812 Carmel Park Dr, Charlotte, NC and can be reached out via phone at 704-491-5616 and via fax at 704-442-6360. You can also correspond with Michelle Lila Blitstein through the mailing address at 4812 CARMEL PARK DR, CHARLOTTE, NC - 28226-5131 (mailing address contact number: 704-491-5616).

Location: 4812 Carmel Park Dr, Charlotte, NC, 28226-5131
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Provider Profile Details
NPI Number
1801079298
Provider Name
Michelle Lila Blitstein
Credential
MSRD
Provider Entity Type
Individual
Gender
Female
Address
4812 Carmel Park Dr, Charlotte, NC, 28226-5131
Phone Number
704-491-5616
Fax Number
704-442-6360
Provider Enumeration Date
12/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2993129 01 NC MRCE NC PTAN
142T8 01 NC BCBS NORTH CAROLINA
institution
Provider Business Practice Location Address Details
Address
4812 Carmel Park Dr
City
State
Zip
28226-5131
Phone Number
704-491-5616
Fax Number
704-442-6360
person
Provider Business Mailing Address Details
Address
4812 Carmel Park Dr
City
State
Zip
28226-5131
Phone Number
704-491-5616
Fax Number
704-442-6360
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Metabolic
Taxonomy
License No.
L001566 (North Carolina)
Definition
Definition to come...
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