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Organization
LIFESTYLES IN NUTRITION
Active
Organization
LIFESTYLES IN NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW KOONTZ MS, RD (OWNER / DIETITIAN)
(425) 633-2022
Entity
Organization
Contact information
Practice address
10900 NE 4TH ST STE 2300, BELLEVUE, WA 98004-5882
(425) 633-2022
(888) 538-8128
Mailing address
16550 NE 79TH ST APT 121, REDMOND, WA 98052-2474
(425) 633-2022
(888) 538-8128
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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