Healthy Living Nutrition | |
3320 Highway 190 Eunice LA 70535-5126 | |
(337) 466-6899 | |
(337) 270-6305 |
Full Name | Healthy Living Nutrition |
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Speciality | Clinic/Center |
Location | 3320 Highway 190, Eunice, Louisiana |
Authorized Official Name and Position | Lynzi N Glasscock (OWNER/PRACTITIONER) |
Authorized Official Contact | 3374666899 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healthy Living Nutrition 3320 Highway 190 Eunice LA 70535-5126 Ph: (337) 466-6899 | Healthy Living Nutrition 3320 Highway 190 Eunice LA 70535-5126 Ph: (337) 466-6899 |
NPI Number | 1538830369 |
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Provider Enumeration Date | 09/22/2021 |
Last Update Date | 09/22/2021 |
Medicare PECOS PAC ID | 9335547124 |
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Medicare Enrollment ID | O20211008000686 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538830369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Lynzi Nicole Glasscock |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1467029603 PECOS PAC ID: 0244638039 Enrollment ID: I20211008000761 |
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