Organization
DIET TO LIFESTYLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAMURA ALYN POORE MS, RDN, LD (OWNER)
(304) 437-3031
Entity
Organization
Contact information
Practice address
145 GOVERNORS SQ STE A, PEACHTREE CITY, GA 30269-4861
(706) 431-5757
(866) 732-4010
Mailing address
5863 EL SEGUNDO WAY, COLLEGE PARK, GA 30349-7519
(866) 732-4010
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/06/2019
Last updated
09/09/2021
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