Lisa Shannon Do, Pa

LBN: Lisa Shannon Do, Pa
Lisa Shannon Do, Pa is an health care organization with primary practice located at 250 2Nd St E Ste 3B , Bradenton FL 34208-1027. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Lisa Shannon Do, Pa can be contacted via phone (941) 746-4151, or through Shannon, Lisa via phone (941) 746-4151.

Contact Information

Primary practice address
250 2Nd St E Ste 3B Bradenton FL 34208-1027
Phone: (941) 746-4151
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shannon, Lisa Doctor of Osteopathy (DO)
Phone: (941) 746-4151

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1639718836
LBN Legal business name Lisa Shannon Do, Pa
DBA Doing business as
Authorized official Shannon, Lisa Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2020
Last updated Sep 6th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639718836 NPPES
Florida MEDICAID 011944000

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