Shannon Lee Aurelius

NPI #1881257236 in Venice, Florida

Provider Information

NPI Number: 1881257236
Entity Type: Individual
Name: Shannon Lee Aurelius
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Apr 20, 2019
Last Updated: Oct 2, 2019

Practice Location

Address: 517 RIVIERA ST
City: Venice
State: Florida
ZIP Code: 34285-2827
Phone: (941) 244-9524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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