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LIFE STAGE NUTRITION LLC

Organization (NPI-2) Active

Dietitian, Registered

Provider Information

NPI Number
1629935929
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
17450 GETTYSBURG WAY, LAKEVILLE, MN, 550444006
Phone
(651) 243-0924

Specialties & Taxonomies

Dietitian, Registered Primary

All Addresses

LOCATION

17450 GETTYSBURG WAY

LAKEVILLE, MN, 550444006

(651) 243-0924

MAILING

310 1/2 MAIN ST S

STILLWATER, MN, 550825126

(651) 243-0924