Lisa L Gluck

NPI #1134392756 in Inwood, New York

Provider Information

NPI Number: 1134392756
Entity Type: Individual
Name: Lisa L Gluck
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Enumeration Date: Apr 3, 2008
Last Updated: Apr 3, 2008

Practice Location

Address: 148 DOUGHTY BLVD
Address 2: SUITE 250
City: Inwood
State: New York
ZIP Code: 11096-2080
Phone: (516) 295-4708

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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