LISA SHANNON

BRADENTON, FL
NPI1548514615
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  402902)
Enumeration Date2012-10-29
Last Update Date2022-07-21
Business Address
-- LISA SHANNON D.O.
5225 MANATEE AVE W
BRADENTON, FL 34209-3742
Phone number: 941-708-8081
Mailing Address
-- LISA SHANNON D.O.
367 S. GULPH RD ATT IPM CREDENTIALING
KING OF PRUSSIA, PA 19406-3121
Phone number: 775-356-9393
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