Organization
DEFY DIABETES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME LEHMAN RD, CDE (OWNER)
(623) 500-6207
Entity
Organization
Contact information
Practice address
18301 N 79TH AVE STE C136, GLENDALE, AZ 85308-8471
(623) 500-6207
Mailing address
18301 N 79TH AVE STE C136, GLENDALE, AZ 85308-8471
(623) 500-6207
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
926214
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609845916
—
AZ
Enumeration date
04/07/2018
Last updated
04/07/2018
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