Individual
LILE D ELLEFSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
13008 NE 125TH WAY, KIRKLAND, WA 98034-7726
(425) 814-8443
Mailing address
12906 NE 128TH PL, KIRKLAND, WA 98034-7901
(425) 823-7764
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000922
WA
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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