Provider / Organization | NPI | Date Certified |
---|---|---|
SHANNON LEAMAN | 1225636046 | 2023-03-12 |
Shannon Leaman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1225636046. Registration indicates Shannon Leaman is a provider of services with a specialization in Dietary & Nutritional Service Providers, Dietitian, Registered (Dietitian, Registered, ) (All Other Specialties & Provider Types, ) (Dietitian, Registered, Dietary & Nutritional Service Providers)
Entity Type | Individual |
Provider Name | Shannon Leaman MS,RDN, LDN |
Other Provider Name | Shannon Dohner |
Practice Office Address | 500 UNIVERSITY DR HERSHEY, PA US |
Practice Office Telephone | 7175316597 |
Mailing Address | 3159 MARIETTA AVE LANCASTER, PA 176011243 US |
Business Telephone | 5706171138 |
Address | City / State | Phone / Fax |
---|---|---|
101 W Main St Unit G1&G2 | Salunga, PA 175381109 | 7173204421 |
Code | Practice | License No State |
---|---|---|
133V00000X PRIMARY | Dietary & Nutritional Service Providers Dietitian, Registered Dietitian, Registered All Other Specialties & Provider Types Dietitian, Registered Dietary & Nutritional Service Providers | DN006562
PA |