LISA MARIE SHALLENBERGER

LAKE MARY, FL
NPI1366969578
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9110578)
Enumeration Date2017-08-28
Last Update Date2024-07-03
Business Address
Ms. LISA MARIE SHALLENBERGER MMS, PA-C
4106 W LAKE MARY BLVD STE 205
LAKE MARY, FL 32746-3344
Phone number: 407-851-5121
Mailing Address
Ms. LISA MARIE SHALLENBERGER MMS, PA-C
859 SILVERADO CT
LAKE MARY, FL 32746-4966
Phone number: 786-301-2626