Lisa R Shannon, LMT

NPI #1922367507 in Middletown, Delaware

Provider Information

NPI Number: 1922367507
Entity Type: Individual
Name: Lisa R Shannon, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: May 16, 2012
Last Updated: May 16, 2012

Practice Location

Address: 5 BRIDGE CT
City: Middletown
State: Delaware
ZIP Code: 19709-9285
Phone: (302) 468-9416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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