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Lisa Katherine Theobald Shanahan, DO
Obstetrics & Gynecology Physician in New York, New York
NPI 1871943837

Lisa Katherine Theobald Shanahan is a Obstetrics & Gynecology Physician based in New York, NY. Lisa Katherine Theobald Shanahan practices in New York, NY and has the professional credentials of DO. The NPI Number for Lisa Katherine Theobald Shanahan is 1871943837 and holds a License No. 303994-01 (New York).

The current practice location address for Lisa Katherine Theobald Shanahan is 530 1St Ave Ste 10Q, New York, NY and can be reached out via phone at 631-376-4060.

Location: 530 1St Ave Ste 10Q, New York, NY, 10016-6402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871943837
Provider Name
Lisa Katherine Theobald Shanahan
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
530 1St Ave Ste 10Q, New York, NY, 10016-6402
Phone Number
631-376-4060
Fax Number
Provider Enumeration Date
06/20/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
530 1St Ave Ste 10Q
City
New York
State
New York
Zip
10016-6402
Phone Number
631-376-4060
Fax Number
person
Provider Business Mailing Address Details
Address
530 1St Ave Ste 10Q
City
New York
State
New York
Zip
10016-6402
Phone Number
631-376-4060
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
303994-01 (New York)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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