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FIRST LIGHT LIFESTYLE MEDICAL CLINIC PLLC
NPI 1801512819
Family Medicine in Dickinson, ND

Active since October 12, 2022
30 7TH ST W STE LL-50, DICKINSON, ND 58601(701) 483-6974 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About First Light Lifestyle Medical Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIRST LIGHT LIFESTYLE MEDICAL CLINIC PLLC (NPI 1801512819) is a healthcare organization registered as a family medicine in Dickinson, North Dakota and active in the NPI registry since October 2022. The organization lists Volney Willett, President, as its authorized official.

NPPES Registry Identity

NPI1801512819
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFIRST LIGHT LIFESTYLE MEDICAL CLINIC PLLC
Location Address30 7TH ST W STE LL-50Dickinson, ND 58601-4335
Mailing Address30 7th St W Ste Ll-50Dickinson, ND 58601-4335 · (701) 483-6974
Phone(701) 483-6974
Organization SubpartNo
Authorized OfficialVolney WillettPresident · (701) 483-6974
Enumeration DateOctober 12, 2022
NPPES CertifiedOctober 12, 2022
✔ NPI 1801512819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
30 7TH ST W STE LL-50, Dickinson, ND 58601
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is First Light Lifestyle Medical Clinic PLLC's NPI number?

The NPI number for First Light Lifestyle Medical Clinic PLLC is 1801512819. It was assigned to this organization in the NPPES registry on October 12, 2022.

Where is First Light Lifestyle Medical Clinic PLLC located?

First Light Lifestyle Medical Clinic PLLC is located at 30 7th St W Ste Ll-50, Dickinson, ND 58601. The listed phone number is (701) 483-6974.

What is First Light Lifestyle Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for First Light Lifestyle Medical Clinic PLLC was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.