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Dr. Patricia Lynne Shelly-Lohman

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NPI Number Detailed Information

Provider Information:

Name: Dr. Patricia Lynne Shelly-Lohman
Gender: F
Provider License Number If Given: AY641

NPI Information:

NPI: 1609879600
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 11/18/2009

Provider Business Mailing Address:

Address: 1411 S 14TH STREET, SUITE F AMELIA AUDIOLOGY
Fernandina Beach, FL 32034
Phone Number: 9044911515
Fax Number: 9044911513

Provider Business Practice Location Address:

Address: 1411 S 14TH STREET, SUITE F AMELIA AUDIOLOGY
Amelia Island, FL 32034
Phone Number: 9044911515
Fax Number: 9044911513

Provider Taxonomy:

Primary: 231H00000X
Secondary (if any): 231HA2500X
State: FL

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