Individual provider · NPI-1

Shelly Dinh, OD

Student in an Organized Health Care Education/Training Program · Lebanon, PA

NPI number1790602597
StatusActive
Last updated in NPPESJul 1, 2026

Details

NPI
1790602597
Entity type
Individual (NPI-1)
Name
Shelly Dinh
Credential
OD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 1, 2026
Certification date
Jul 2, 2026
Last updated
Jul 1, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1700 S Lincoln Ave
Lebanon, PA 17042-7529

Phone 717-272-6621

Mailing address

1700 S Lincoln Ave
Lebanon, PA 17042-7529

Phone 717-272-6621

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