Doctor Name: | LILE D ELLEFSEN |
NPI Number: | 1003067133 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | DI00000922 |
Business Practice Address: | 13008 Ne 125th Way Kirkland, WA - 980347726 |
Business Phone Number: | 4258148443 |
Business Fax Number: | |
Mailing Address: | 12906 Ne 128th Pl, KIRKLAND |
State: | WA |
Postal Code: | 980347901 |
Phone Number: | 4258237764 |
Fax Number: | |
NPI Enumeration Date: | 10/07/2008 |
NPI Last Update Date: | 10/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DI00000922 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |