| Doctor Name: | MICCA LYNN DONOHOO |
| NPI Number: | 1093968273 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D. |
| License Number: | 164003788 |
| Business Practice Address: | 701 N 1st St Food And Nutrition Office Springfield, IL - 627810001 |
| Business Phone Number: | 2177883477 |
| Business Fax Number: | 2177885569 |
| Mailing Address: | Po Box 4488, SPRINGFIELD |
| State: | IL |
| Postal Code: | 627084488 |
| Phone Number: | 8005775368 |
| Fax Number: | 2177572021 |
| NPI Enumeration Date: | 10/31/2008 |
| NPI Last Update Date: | 10/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 164003788 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |