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Individual

DANIEL SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RD

Contact information

Practice address
1600 S 48TH ST, LINCOLN, NE 68506-1299
(207) 737-9370
Mailing address
300 MAIN ST, LEWISTON, ME 04240-7027

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
1739
NE
133V00000X
Registered Dietitian
Primary
86150604

Other

Enumeration date
05/13/2020
Last updated
08/14/2025
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