Lifelong Nutrition and Fitness Inc

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

LIFELONG NUTRITION AND FITNESS INC

Practice address

740 N H St # 156
Lompoc, CA 93436-4521

Phone

(805) 743-4078

NPI assigned

Apr 12, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Julie Chudak

Title

President

Phone

(805) 743-4078

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1639632912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 N H ST # 156",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934364521",
            "telephone_number": "805-743-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 N H ST # 156",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934364521",
            "telephone_number": "805-743-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELONG NUTRITION AND FITNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "CHUDAK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-743-4078"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therese Lewis
• Traci Renee Lewis
• Lawrence Bon Yen Li, MD
• Emily S Liebo, PA-C, MPH
• Life Chiropractic
• Brian Lippner
• Anne E Little, M.D.
• Littleclubhouse Academy
• Ximena Andrea Lizama
• Joseph Jerome Lockhart, PH.D.

• Registered Dietitian in Lompoc, CA
• Providers in Lompoc, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.