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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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