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1255883310
SHANNON MARIE LAVIS
ALBANY, NY
NPI
1255883310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 020291)
Enumeration Date
2016-10-25
Last Update Date
2021-05-19
Business Address
SHANNON MARIE LAVIS PA
315 S MANNING BLVD 0203 MCAULEY
ALBANY, NY 12208-1707
Phone number: 518-525-1550
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Mailing Address
SHANNON MARIE LAVIS PA
20 WILLETT ST APT 4
ALBANY, NY 12210-1183
Phone number: 570-591-6416
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