Sage Simon

NPI #1457074726 in Lodi, Ohio

Provider Information

NPI Number: 1457074726
Entity Type: Individual
Name: Sage Simon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Sep 22, 2022
Last Updated: Sep 22, 2022

Practice Location

Address: 225 ELYRIA ST
City: Lodi
State: Ohio
ZIP Code: 44254-1031
Phone: (330) 948-1222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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