Individual provider · Type 1 NPI

Lisa Marie Shallenberger, MMS, PA-C

Physician Assistant · Lake Mary, FL

NPI number 1366969578 Active

Practice location

4106 W Lake Mary Blvd Ste 205
Lake Mary, FL 32746-3344

Call (407) 851-5121 Map

Mailing address

859 Silverado Ct
Lake Mary, FL 32746-4966

Other practice locations

  • 3798 Irvington Ave, Coconut Grove, FL 33133-6106 · (786) 301-2626

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9110578 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1366969578

Lisa Marie Shallenberger, MMS, PA-C's National Provider Identifier is 1366969578, issued on Aug 28, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lake Mary, FL. The record was last updated on Jul 3, 2024.