Organization · Type 2 NPI

Life Stage Nutrition LLC

Registered Dietitian · Lakeville, MN

NPI number 1629935929 Active

Practice location

17450 Gettysburg Way
Lakeville, MN 55044-4006

Mailing address

310 1/2 Main St S
Stillwater, MN 55082-5126

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1629935929

Life Stage Nutrition LLC's National Provider Identifier is 1629935929, issued on Jan 7, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Lakeville, MN. The record was last updated on Feb 5, 2026.