Provider Demographics
NPI:1528772902
Name:SCHAEFFER, LEANN (PHD, RD, LD)
Entity type:Individual
Prefix:DR
First Name:LEANN
Middle Name:
Last Name:SCHAEFFER
Suffix:
Gender:F
Credentials:PHD, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 CARROLL ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44325-6102
Mailing Address - Country:US
Mailing Address - Phone:330-972-6046
Mailing Address - Fax:
Practice Address - Street 1:240 CARROLL ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44325-6102
Practice Address - Country:US
Practice Address - Phone:330-972-6046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1758133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered