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Organization
MID OHIO NUTRITION SPECIALISTS, LLC
Active
Organization
MID OHIO NUTRITION SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA MARIE LUCAS RD (DIETITIAN)
(419) 606-3283
Entity
Organization
Contact information
Practice address
846 STONE CREEK BLVD, ASHLAND, OH 44805-4587
(419) 606-3283
Mailing address
846 STONE CREEK BLVD, ASHLAND, OH 44805-4587
(419) 606-3283
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1142
OH
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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