MS. Lisa Marie Shallenberger, MMS, PA-C

NPI #1366969578 in Lake Mary, Florida

Provider Information

NPI Number
1366969578
Entity Type
Individual
Name
MS. Lisa Marie Shallenberger, MMS, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
MMS, PA-C
Enumeration Date
Aug 28, 2017
Last Updated
Jul 3, 2024

Practice Location

Address
4106 W LAKE MARY BLVD STE 205
State
Florida
ZIP Code
32746-3344
Phone
(407) 851-5121

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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