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

Life Stage Nutrition LLC

Organization Registered Dietitian · NPI 1629935929

Life Stage Nutrition LLC is a Registered Dietitian in Lakeville, Minnesota. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17450 Gettysburg Way
Lakeville, MN 55044-4006
Phone: (651) 243-0924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1629935929
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Anderson — Founder · (651) 243-0924
NPI enumeratedJanuary 7, 2026
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026
Mailing address310 1/2 Main St S, Stillwater, MN 55082-5126

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