MD Nutrition and Lifestyle, LLC
MD Nutrition and Lifestyle, LLC provides Registered Dietitian services in Kingstowne, Virginia. Licensed in Connecticut and North Carolina. Registered with an NPI since 2018.
- Licensed in
- CT, NC
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5901 Kingstowne Village Pkwy Ste 300Kingstowne, VA 22315
Phone: (860) 796-1930
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence L002913 (NC) |
|---|---|
| Registered Dietitian | Taxonomy 133V00000X · Licence 001415 (CT) |
Record details
| NPI number | 1972002301 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mara Davis — Clinical Dietitan · (860) 796-1930 |
| NPI enumerated | February 12, 2018 |
| Last updated in NPPES | February 12, 2018 |
| Mailing address | 95 Bretton Rd, Middletown, CT 06457 |