Provider Demographics
NPI:1366310724
Name:COMMENCHAL, MICHELLE LORRAINE (RD, RDN)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LORRAINE
Last Name:COMMENCHAL
Suffix:
Gender:F
Credentials:RD, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4502 DEVEREUX DR
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-6081
Mailing Address - Country:US
Mailing Address - Phone:970-227-6152
Mailing Address - Fax:
Practice Address - Street 1:4502 DEVEREUX DR
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-6081
Practice Address - Country:US
Practice Address - Phone:970-227-6152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered