LIFESTYLE NUTRITION NPI 1770078107

NPI Information

NPI: 1770078107
Provider Name: LIFESTYLE NUTRITION
Classification: Nutritionist - 133NN1002X
Entity Type: Organization

Specialization: Nutrition, Education

Address:
42 OAK ST
LINCOLN PARK, NJ
ZIP 07035
Phone: (845) 379-4616
Get Directions

LIFESTYLE NUTRITION is a nutrition and education nutritionist in Lincoln Park, NJ. LIFESTYLE NUTRITION NPI is 1770078107. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

42 OAK ST
LINCOLN PARK, NJ
ZIP 07035-434
Phone: (845) 379-4616

The provider's authorized official is Jaclyn A Jacobsen .
The authorized official title is Nutritionist/owner and has the following contact phone number (845) 379-4616.

The enumeration date for this NPI number is 6/27/2018 and was last updated on 6/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133NN1002X	Nutritionist	Nutrition, Education			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »