| Lifecycle Nutrition | |
|
105 Virginia Dr, Hattiesburg, MS 39401-5831 | |
| (850) 556-4377 | |
| Not Available |
| Full Name | Lifecycle Nutrition |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 105 Virginia Dr, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063911584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | D1640 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lifecycle Nutrition 105 Virginia Dr, Hattiesburg, MS 39401-5831 Ph: (850) 556-4377 | Lifecycle Nutrition 105 Virginia Dr, Hattiesburg, MS 39401-5831 Ph: (850) 556-4377 |
Jennifer L Lemacks, PH.D., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 105 Virginia Dr, Hattiesburg, MS 39401 Phone: 850-556-4377 | |
Natasha Hansen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 118 College Dr # 5017, Hattiesburg, MS 39406 Phone: 612-910-8010 | |
Jaclyn Wehrle, RD Dietitian Medicare: Medicare Enrolled Practice Location: 122 Virginia Dr, Hattiesburg, MS 39401 Phone: 513-265-1895 | |
Mrs. Sabrina M White, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-268-8090 | |
John Micka, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2 Longstone Rd, Hattiesburg, MS 39402 Phone: 601-297-5646 | |
Janet Hudson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5909 U S Highway 49, Suite 30, Hattiesburg, MS 39402 Phone: 601-296-2780 Fax: 601-296-2781 |