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Contact Information

LIFE IN BALANCE NUTRITION LLC
407 FORTRESS WAY
OCCOQUAN, VA22125-7700
 Phone: 571-348-4220
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Obesity and Weight Management

133VN1201X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for LIFE IN BALANCE NUTRITION LLC · (Female)

NPI # 1932056983
Status Active
Credentials
Entity Individual
Enumeration date 03/10/2026
Last updated 05/05/2026 - About a month ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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