MRS. Shannon Louise Lis, CPNP
NPI #1043726995 in Coronado, California
Provider Information
- NPI Number
- 1043726995
- Entity Type
- Individual
- Name
- MRS. Shannon Louise Lis, CPNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse - Pediatrics
- Credential
- CPNP
- Enumeration Date
- Dec 14, 2017
- Last Updated
- Dec 14, 2017
Practice Location
- Address
- 62 PORT OF SPAIN RD
- City
- Coronado
- State
- California
- ZIP Code
- 92118-3226
- Phone
- (619) 628-0183
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Pediatrics — Pediatrics |
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