NPI 1063911584

Lifecycle Nutrition Services LLC

Organisation Registered Dietitian Hattiesburg, MS

Practice location

Address: 105 Virginia Dr, Hattiesburg, MS 39401-5831
Phone: (850) 556-4377

Authorised official

Name: Jennifer Lynn Lemacks
Title: Owner
Phone: (850) 556-4377

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence D1640 (MS)

Other Dietitian, Registered providers in Mississippi →

Registry record

NPI: 1063911584
Entity type: Organization
NPI issued: 10 Feb 2018
Record last updated: 10 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.