Organization
LIVEWELL NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON LEININGER MED, RD, LD, CDE (REGISTERED DIETITIAN/OWNER)
(702) 845-7175
Entity
Organization
Contact information
Practice address
500 N RAINBOW BLVD STE 300, LAS VEGAS, NV 89107-1061
(702) 508-0630
(702) 508-0637
Mailing address
500 N RAINBOW BLVD STE 300, LAS VEGAS, NV 89107-1061
(702) 508-0630
(702) 508-0637
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/13/2019
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