Lenssen, Polly Mary Elizabeth

Lenssen, Polly Mary Elizabeth is an individual health care provider with primary practice located at 4800 Sand Point Way Ne M/S W3726, Seattle WA 98105-3901. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Lenssen, Polly Mary Elizabeth can be contacted via phone (206) 987-5110.

Contact Information

Primary practice address
4800 Sand Point Way Ne M/S W3726 Seattle WA 98105-3901
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X DI00000333 Washington

Profile Details

NPI number 1265544043
LBN Legal business name Lenssen, Polly Mary Elizabeth
Credentials RD, CD, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265544043 NPPES
Washington MEDICAID 8267129

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