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1366969578
LISA MARIE SHALLENBERGER
LAKE MARY, FL
NPI
1366969578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9110578)
Enumeration Date
2017-08-28
Last Update Date
2024-07-03
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
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Mailing Address
Ms. LISA MARIE SHALLENBERGER MMS, PA-C
859 SILVERADO CT
LAKE MARY, FL 32746-4966
Phone number: 786-301-2626
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