Individual
DR. LYTITIA MARIE FADELL SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01050721
IN
208000000X
Pediatrics Physician
Primary
69424
MN
208000000X
Pediatrics Physician
G161873
CA
Other
Enumeration date
03/10/2006
Last updated
06/14/2021
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