OrganizationActive
Lifestyle Nutrition
NPI 1770078107 · Nutrition Education Nutritionist · Lincoln Park, NJ
Provider details
- NPI number
- 1770078107
- Entity type
- Organization
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Jaclyn Jacobsen, Nutritionist/Owner(845) 379-4616
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
42 Oak St
Lincoln Park, NJ 07035-2434
Phone: (845) 379-4616
Approximate (ZIP-level) locationGet directions
Mailing address
42 Oak St
Lincoln Park, NJ 07035-2434
Registry dates
- Enumerated
- 2018-06-27
- Last updated
- 2018-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.