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Individual

SHANNON E DORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
161 JACKSON ST, LOWELL, MA 01852-2103
(978) 937-9700
Mailing address
161 JACKSON ST, LOWELL, MA 01852-2103
(978) 937-9700

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
056566-23
NH
208000000X
Pediatrics Physician
Primary
RN2278442
MA

Other

Enumeration date
11/10/2014
Last updated
06/26/2025
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