Organization
LIFESTYLE NUTRITION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENIFER FOURNIER RDN (OWNER/REGISTERED DIETITIAN)
(719) 339-9763
Entity
Organization
Contact information
Practice address
1921 FIELDCREST DR, COLORADO SPRINGS, CO 80921-4012
(719) 339-9763
Mailing address
1921 FIELDCREST DR, COLORADO SPRINGS, CO 80921-4012
(719) 339-9763
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
04/02/2020
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