NPI 1801512819

First Light Lifestyle Medical Clinic PLLC

Organisation Family Medicine Physician Dickinson, ND

Practice location

Address: 30 7th St W STE Ll-50, Dickinson, ND 58601-4335
Phone: (701) 483-6974

Authorised official

Name: Volney Willett
Title: President
Phone: (701) 483-6974

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in North Dakota →

Registry record

NPI: 1801512819
Entity type: Organization
NPI issued: 12 Oct 2022
Record last updated: 12 Oct 2022

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.