Individual
MRS. LISE LUCAS SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD-N
Contact information
Practice address
305 HOSPITAL DR, GLEN BURNIE, MD 21061-5805
(410) 553-8100
(410) 553-8133
Mailing address
305 HOSPITAL DR, GLEN BURNIE, MD 21061-5805
(410) 553-8100
(410) 553-8133
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000875
CT
133V00000X
Registered Dietitian
DX3411
MD
Other
Enumeration date
12/16/2008
Last updated
12/01/2015
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