Lifecycle Nutrition Services Llc

Specialty details in registry · Hattiesburg, MS

Call (850) 556-4377 Directions

At a glance

105 Virginia Dr, Hattiesburg, MS 39401-5831

NPPES record updated Feb 10, 2018. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

105 Virginia Dr
Hattiesburg, MS 39401-5831
Professional details: NPI, taxonomy & registry record
NPI1063911584
Call Directions

Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
133V00000X
Enumeration date
Feb 10, 2018
Record updated
Feb 10, 2018
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

133V00000X · Primary

License reported: D1640 MS

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

105 Virginia Dr
Hattiesburg, MS 39401-5831
Phone
(850) 556-4377
Mailing address
105 VIRGINIA DR

HATTIESBURG, MS 394015831
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

Report a directory issue