Individual
LEZLIE LORRAINE SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CDE
Contact information
Practice address
4001 W 15TH ST STE 335, PLANO, TX 75093
(469) 835-5845
Mailing address
906 WEST MCDERMOTT, SUITE 116, PMB 272, ALLEN, TX 75013-5426
(469) 835-5845
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT01207
TX
Other
Enumeration date
10/03/2016
Last updated
09/24/2018
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