Individual
LISA GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
11821 NE 128TH ST, STE C, KIRKLAND, WA 98034-7210
(425) 285-1250
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI 60576213
WA
Other
Enumeration date
03/13/2015
Last updated
07/24/2015
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