Life Cycle Nutrition Llc | |
11329 P St Ste 126, Omaha, NE 68137-2315 | |
(402) 509-3500 | |
Not Available |
Full Name | Life Cycle Nutrition Llc |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 11329 P St Ste 126, Omaha, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1952894875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Krista Marie Godfrey |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1508134560 PECOS PAC ID: 4284982349 Enrollment ID: I20180806002036 |
Provider Name | Kara C Kasson |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1861190506 PECOS PAC ID: 5193189850 Enrollment ID: I20230913002463 |
Provider Name | Kimberly Mausbach |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1831966860 PECOS PAC ID: 8022457324 Enrollment ID: I20240419000836 |
Mailing Address | Practice Location Address |
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Life Cycle Nutrition Llc 2524 S 138th St, Omaha, NE 68144-2452 Ph: () - | Life Cycle Nutrition Llc 11329 P St Ste 126, Omaha, NE 68137-2315 Ph: (402) 509-3500 |
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Kaitlyn Pauly, MS, RD, LMNT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1941 S 42nd St Rm 215-26, Omaha, NE 68105 Phone: 402-599-2174 | |
Mr. Daniel Lyle, CPT, LFC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2660 N 72nd St, Omaha, NE 68134 Phone: 402-618-2579 |