Individual
MS. LESSIE B GREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDN
Contact information
Practice address
1200 E AND WEST RD, WEST SENECA, NY 14224-3604
(716) 517-2000
Mailing address
88 TUDOR RD, BUFFALO, NY 14215-2922
(716) 833-1043
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
0048421
NY
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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