MEDICARE: MS. LISE ANNE GLOEDE RD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1489551	OTHER	VA	CIGNA HEALTHCARE PROVIDER
2	7480122	OTHER	VA	AETNA PROVIDER NUMBER
3	2294420	OTHER	VA	UNITED HEALTHCARE PROVIDE

General Provider Information

NPI Number	:	1386719607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LISE ANNE GLOEDE RD

Provider Business Mailing Address
First Line	:	5275 LEE HWY
Second Line	:	SUITE #101
City	:	ARLINGTON
State	:	VA
Zip	:	22207-1619
Country	:	US
Telephone Number	:	703-575-1007
Fax Number	:	703-358-8703

Provider Business Practice Location Address
First Line	:	5275 LEE HWY
Second Line	:	SUITE #101
City	:	ARLINGTON
State	:	VA
Zip	:	22207-1619
Country	:	US
Telephone Number	:	703-575-1007
Fax Number	:	703-358-8703

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	11/02/2010

Similar Medicare Providers

1962402792 — JEAN-GILLES TCHABO M.D.
Practice Location Address:

5275 LEE HWY , SUITE G-1
ARLINGTON, VA
22207-1619

Practice Phone: 703-558-6591
Practice Fax: 703-558-6496

1023001443 — EMILY ELIZABETH PAGAN MD
Practice Location Address:

5275 LEE HWY STE 200
ARLINGTON, VA
22207-1619

Practice Phone: 703-717-4090
Practice Fax: 703-717-4091

1124054523 — JESSICA T. BRISCOE-COLEMAN P.T.
Practice Location Address:

5275 LEE HWY , SUITE 200
ARLINGTON, VA
22207-1619

Practice Phone: 703-532-4892
Practice Fax: 703-237-3105

1326075045 — MS. JANET C. NICHOLSON ED.D.
Practice Location Address:

5275 LEE HWY , SUITE 200
ARLINGTON, VA
22207-1619

Practice Phone: 703-532-4892
Practice Fax: 703-237-3105

1760411011 — C. JEANNE SCHEELE P.T.
Practice Location Address:

5275 LEE HWY , SUITE 200
ARLINGTON, VA
22207-1619

Practice Phone: 703-532-4892
Practice Fax: 703-237-3105

1457463663 — DAMANEON SMITH DPM
Practice Location Address:

5275 LEE HWY STE 303
ARLINGTON, VA
22207-1619

Practice Phone: 703-538-5111
Practice Fax: 703-538-4193

Directions to “ MS. LISE ANNE GLOEDE RD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.