MS. Lisa K Shaw, PMAC

NPI #1356321764 in Harrisburg, Pennsylvania

Provider Information

NPI Number: 1356321764
Entity Type: Individual
Name: MS. Lisa K Shaw, PMAC
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Assistant, Podiatric
Credential: PMAC
Enumeration Date: Jan 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6100 OLD JOHNSTOWN RD
City: Harrisburg
State: Pennsylvania
ZIP Code: 17112
Phone: (717) 541-0988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant, Podiatric	211D00000X	Primary

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