Individual provider · Type 1 NPI

Lorel Marie Shaw, PA-C

Physician Assistant · Providence, RI

NPI number 1821980566 Active

Practice location

219 Carpenter St
Providence, RI 02903-3044

Mailing address

219 Carpenter St # 1R
Providence, RI 02903-3044

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA01825 (RI)

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 1821980566

Lorel Marie Shaw, PA-C's National Provider Identifier is 1821980566, issued on Jul 17, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Providence, RI. The record was last updated on Sep 17, 2026.