SHANNEN MARIE SEVERSEN

LAKE WORTH, FL
NPI1457895161
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: FL  PA2306)
Enumeration Date2016-12-14
Last Update Date2016-12-14
Business Address
-- SHANNEN MARIE SEVERSEN PA-C
3618 LANTANA ROAD SUITE 200
LAKE WORTH, FL 33462-2247
Phone number: 561-968-2995
Mailing Address
-- SHANNEN MARIE SEVERSEN PA-C
3424 DIANE DR
BOYNTON BEACH, FL 33435-8554
Phone number: 561-371-9158
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