Individual
MS. POLLY MARY ELIZABETH LENSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD, MS
Contact information
Practice address
4800 SAND POINT WAY NE, M/S W3726, SEATTLE, WA 98105-3901
(206) 987-5110
Mailing address
3902 DENSMORE AVE N, SEATTLE, WA 98103-8240
(206) 632-5411
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DI00000333
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8267129
—
WA
Enumeration date
08/31/2006
Last updated
07/08/2007
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