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NPI Code Detail

MEDICARE: ALEXIS LAUREN MARTOIA RDN

MEDICARE:   ALEXIS LAUREN MARTOIA  RDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1124862354
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS LAUREN MARTOIA RDN
Provider Business Mailing Address
First Line : 1401 S ROCHESTER RD APT 310
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-3125
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1401 S ROCHESTER RD APT 310
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-3125
Country : US
Telephone Number : 248-818-3860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2024
Last Update Date : 06/21/2024

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Directions to “ ALEXIS LAUREN MARTOIA RDN” Practice Location

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