Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa O'Sullivan

Individual provider Registered Dietitian · NPI 1225861271

Lisa O'Sullivan is a Registered Dietitian OR Nutrition Professional in Royal Oak, Michigan. Qualified in 2013, 13 years ago. Practices as a sole proprietor and accepts Medicare assignment.

Years since qualifying
13
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

612 9th St
Royal Oak, MI 48067-3144
Phone: (586) 212-1744
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1225861271
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 24, 2024
Last updated in NPPESAugust 24, 2024
Certification dateAugust 24, 2024
Mailing address612 9th St, Royal Oak, MI 48067-3144

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Royal Oak