NPI 1003067133

Lile D Ellefsen, RD

Practitioner Registered Dietitian Kirkland, WA

Practice location

Address: 13008 NE 125th Way, Kirkland, WA 98034-7726
Phone: (425) 814-8443
Mailing address: 12906 NE 128th Pl, Kirkland, WA 98034-7901

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence DI00000922 (WA)

Other Dietitian, Registered providers in Washington →

Registry record

NPI: 1003067133
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Oct 2008
Record last updated: 7 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.