Suzanne Lynelle Smith, MS, RD, LD
Dietitian, Registered, Nutrition, Pediatric in Cincinnati, OH. Individual provider (NPI-1).
NPI number1760601835
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1760601835
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Suzanne Lynelle Smith
- Credential
- MS, RD, LD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 25, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133VN1004X | Dietitian, Registered, Nutrition, Pediatric | LD 5275 | OH | Yes |
Practice location
375 Dixmyth AveCincinnati, OH 45220-2475
Phone 513-872-7711
Mailing address
6787 Ruwes Oak DrCincinnati, OH 45248-1030
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