Individual
SHANNON MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 ELYRIA ST, LODI, OH 44254-1096
(330) 948-5546
Mailing address
6132 CHAMPAGNE SHRS, MEDINA, OH 44256-7469
(330) 475-5051
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.6728
OH
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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