Shannon Lynch, RDN, LDN
Dietitian, Registered in Enola, PA. Individual provider (NPI-1).
NPI number1124628201
StatusActive
Last updated in NPPESOct 28, 2020
Details
- NPI
- 1124628201
- Entity type
- Individual (NPI-1)
- Name
- Shannon Lynch
- Credential
- RDN, LDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2020
- Certification date
- Oct 28, 2020
- Last updated
- Oct 28, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN006727 | PA | Yes |
Practice location
8 E Pine St Apt 1Enola, PA 17025-2827
Phone 717-576-7824
Mailing address
8 E Pine St Apt 1Enola, PA 17025-2827
Phone 717-576-7824
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