Individual
MRS. SHANNON R SCHLAGBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNP
Contact information
Practice address
801 MEDICAL DR, SUITE A, LIMA, OH 45804-4031
(419) 222-6622
(419) 224-0015
Mailing address
801 MEDICAL DR, SUITE A, LIMA, OH 45804-4031
(419) 222-6622
(419) 224-0015
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.14615-NP
OH
363LF0000X
Family Nurse Practitioner
COA.14615-NP
OH
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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