Lifestyle Wellness, LLC
NPI #1093047623 in Gainesville, Florida
Provider Information
- NPI Number
- 1093047623
- Entity Type
- Organization
- Organization Name
- Lifestyle Wellness, LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Feb 8, 2010
- Last Updated
- Feb 8, 2010
Practice Location
- Address
- 519 NW 60TH STREET
- Address 2
- SUITE E
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32607
- Phone
- (352) 375-1158
Authorized Official
- Name
- LAURA JANE ACOSTA, MS, RD, LD/N
- Title
- OWNER
- Phone
- (352) 375-1158
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
| Dietitian, Registered |
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