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NPI Code Detail

MEDICARE: LIFEWEIGHT NUTRITION PROGRAMS

MEDICARE: LIFEWEIGHT NUTRITION PROGRAMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133VN1201XObesity and Weight Management Nutrition Registered Dietitian

General Provider Information

NPI Number : 1790558906
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFEWEIGHT NUTRITION PROGRAMS
Provider Business Mailing Address
First Line : 250 SAINT PAUL DR
Second Line :
City : ALAMO
State : CA
Zip : 94507-1648
Country : US
Telephone Number : 925-855-0150
Fax Number : 925-362-0806
Provider Business Practice Location Address
First Line : 250 SAINT PAUL DR
Second Line :
City : ALAMO
State : CA
Zip : 94507-1648
Country : US
Telephone Number : 925-855-0150
Fax Number : 925-362-0806
Authorized Official
Title or Position : REGISTERED DIETITIAN
Name : MRS. LINDA JOYCE MICHAELIS
Credential : MS, RD
Telephone Number : 925-855-0150
Provider Enumeration Date : 10/31/2023
Last Update Date : 10/31/2023

Similar Medicare Providers

1942387584 — MRS. LINDA JOYCE LENNETT R.D.,M.S.
Practice Location Address:
250 SAINT PAUL DR
ALAMO, CA
94507-1648
Practice Phone: 925-855-0150
Practice Fax: 925-362-0806
1578558706 — MEI LEE FLEMING OD
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1114918802 — DR. BEVERLY JUE SMITH OD, MS, MBA, CPNP
Practice Location Address:
3000 DANVILLE BLVD STE I
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Practice Phone: 925-202-2846
Practice Fax:
1477530988 — DR. SHEILA LOUISE RAUMER MD
Practice Location Address:
130 BANDO COURT
ALAMO, CA
94507
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1003872961 — DR. JULIE A GOO MD
Practice Location Address:
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1669425427 — AMY MILLER PA
Practice Location Address:
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Practice Fax:

Directions to “LIFEWEIGHT NUTRITION PROGRAMS ” Practice Location

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