Individual provider · Type 1 NPI

Shannon Marie Convery, PA-C

Medical Physician Assistant · Lorain, OH

NPI number 1871803676 Active

Practice location

5172 Leavitt Rd
Lorain, OH 44053-2384

Call (440) 282-3385 Map

Mailing address

4211 Wooster Rd
Fairview Park, OH 44126-3417

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA03157 (TX)
Physician Assistant 363A00000X1052607 NCCPA NUMBER (TX)
Medical Physician Assistant Primary 363AM0700X50.002241 (OH)

Medical Physician Assistant: Definition to come...

20 other providers at this address

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About NPI 1871803676

Shannon Marie Convery, PA-C's National Provider Identifier is 1871803676, issued on Oct 14, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lorain, OH. The record was last updated on Nov 18, 2020.