Individual
SHANNON LEVINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
1745 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3016
(863) 688-0576
(863) 688-5907
Mailing address
743 WINFREE AVE, LAKELAND, FL 33801-5555
(863) 686-0781
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
ND2615
FL
133VN1005X
Renal Nutrition Registered Dietitian
Primary
ND2615
FL
Other
Enumeration date
05/21/2009
Last updated
06/29/2009
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