Individual
MRS. SHANNON MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
100 HOSPITAL DR, LEBANON, MO 65536-9210
(417) 533-6100
Mailing address
100 HOSPITAL DR, LEBANON, MO 65536-9210
(417) 533-6100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2006027548
MO
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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