Individual provider · Type 1 NPI
Shannon Louise Lis, CPNP
Pediatric Registered Nurse · Coronado, CA
NPI number
1043726995
Active
Practice location
62 Port Of Spain Rd
Coronado, CA 92118-3226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | 487112 (CA) |
Pediatric Registered Nurse: Definition to come...
About NPI 1043726995
Shannon Louise Lis, CPNP's National Provider Identifier is 1043726995, issued on Dec 14, 2017. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Coronado, CA. The record was last updated on Dec 14, 2017.