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Diet of a Lifetime, LLC — NPI 1811553555, Pine Bluff, AR | NPI Central

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NPI 1811553555

OrganizationActive

Diet of a Lifetime, LLC

NPI 1811553555 · Clinic/Center · Pine Bluff, AR

Provider details

NPI number: 1811553555
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Debra Goldmon, Owner(870) 540-9114

Specialties & taxonomies

Clinic/CenterPrimary261Q00000X
Ambulatory Health Care Facilities

Practice location

123 S Pine St

Pine Bluff, AR 71601-4222

Phone: (870) 540-9114

Approximate (ZIP-level) locationGet directions

More AR providers

Mailing address

420 Sandy Bayou Ln

Pine Bluff, AR 71603-6555

Registry dates

Enumerated: 2019-05-17
Last updated: 2019-05-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.