Carroll, Shannon Lyn

Carroll, Shannon Lyn is an individual health care provider with primary practice located at 2400 South St Greater Lafayette Health Services Food And Nutrition, Lafayette IN 47904-3027. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Carroll, Shannon Lyn can be contacted via phone (765) 449-5139.

Contact Information

Primary practice address
2400 South St Greater Lafayette Health Services Food And Nutrition Lafayette IN 47904-3027
Phone: (765) 449-5139
Fax: (765) 449-3061
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 848411 Indiana

Profile Details

NPI number 1073686796
LBN Legal business name Carroll, Shannon Lyn
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers