NPI 1073686796

Shannon Lyn Carroll, RD

Practitioner Registered Dietitian Lafayette, IN

Practice location

Address: 2400 South St Greater Lafayette Health Services Food and Nutrition, Lafayette, IN 47904-3027
Phone: (765) 449-5139
Fax: (765) 449-3061
Mailing address: 7392 W Division Line Rd, Delphi, IN 46923-8909

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 848411 (IN)

Other Dietitian, Registered providers in Indiana →

Registry record

NPI: 1073686796
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.