Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

First Light Lifestyle Medical Clinic PLLC

Organization Family Medicine Physician · NPI 1801512819

First Light Lifestyle Medical Clinic PLLC provides Family Medicine Physician services in Dickinson, North Dakota. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

30 7th St W Ste LL-50
Dickinson, ND 58601-4335
Phone: (701) 483-6974
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1801512819
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Volney Willett — President · (701) 483-6974
NPI enumeratedOctober 12, 2022
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022
Mailing address30 7th St W Ste Ll-50, Dickinson, ND 58601-4335

Other providers in Dickinson