| Doctor Name: | SHANNON FITZGERALD |
| NPI Number: | 1326012246 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD LD |
| License Number: | LD3367 |
| Business Practice Address: | 29000 Center Ridge Rd Sjws Dietary Services Westlake, OH - 44145 |
| Business Phone Number: | 4408275588 |
| Business Fax Number: | |
| Mailing Address: | 6935 Treeline Dr, Ste J BRECKSVILLE |
| State: | OH |
| Postal Code: | 44141 |
| Phone Number: | 4407462220 |
| Fax Number: | 4407463496 |
| NPI Enumeration Date: | 02/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | LD3367 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| 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 |