Individual
LISA E SHEVLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
360 LINDEN OAKS, SUITE #300, ROCHESTER, NY 14625-2814
(585) 383-8830
(585) 383-8918
Mailing address
360 LINDEN OAKS, SUITE #300, ROCHESTER, NY 14625-2814
(585) 383-8830
(585) 383-8918
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
010080
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03124247
—
NY
Enumeration date
09/16/2006
Last updated
03/21/2014
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