Individual provider · Type 1 NPI

Shannon Elizabeth Lord, FNP

Family Nurse Practitioner · Syracuse, NY

NPI number 1104638998 Active

Practice location

736 Irving Ave
Syracuse, NY 13210-1602

Mailing address

3251 Far Reach Dr
Baldwinsville, NY 13027-1532

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF354246 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1104638998

Shannon Elizabeth Lord, FNP's National Provider Identifier is 1104638998, issued on Jan 21, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Syracuse, NY. The record was last updated on Jan 21, 2025.