Individual
SHAWN CRISTIN LEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
34 MAPLE ST, NORWALK, CT 06850-3815
(203) 852-2188
Mailing address
3907 COTTONWOOD DR, DURHAM, NC 27705-5365
(919) 257-8879
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001979
CT
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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