Organization
LIFE CYCLE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA GODFREY RD (REGISTERED DIETITIAN, OWNER)
(402) 509-3500
Entity
Organization
Contact information
Practice address
11329 P ST STE 126, OMAHA, NE 68137-2315
(402) 509-3500
Mailing address
2524 S 138TH ST, OMAHA, NE 68144-2452
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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