Lis, Shannon Louise
Lis, Shannon Louise is an sole proprietor health care provider with primary practice located at 62 Port Of Spain Rd , Coronado CA 92118-3226. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Lis, Shannon Louise can be contacted via phone (619) 628-0183.Contact Information
Primary practice address
62 Port Of Spain Rd
Coronado CA 92118-3226
Phone: (619) 628-0183
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Pediatrics | 163WP0200X | 487112 | California |
Profile Details
| NPI number | 1043726995 |
|---|---|
| LBN Legal business name | Lis, Shannon Louise |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2017 |
| Last updated | Dec 14th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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