Organization
LIFESTYLE NUTRITION WNY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY GILLON RD, CDE (OWNER)
(716) 222-0297
Entity
Organization
Contact information
Practice address
7350 PORTER RD, NIAGARA FALLS, NY 14304-5705
(716) 222-0297
(716) 794-9466
Mailing address
85 WHITE TAIL RUN, GRAND ISLAND, NY 14072-3234
(716) 222-0297
(716) 794-9466
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007370
NY
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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