Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

First Light Lifestyle Medical Clinic PLLC

Organization Family Medicine Physician · NPI 1801512819

First Light Lifestyle Medical Clinic PLLC is a Family Medicine Physician 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.

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Practice location Address checks out

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

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