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Shannon Tyler
NPI 1285963298 · on the registry since 2009 · sole proprietor
Practice
- Address
- 28 N Heritage Woods Ln
Winthrop, ME 04364 - Phone
- (207) 377-2472
- Fax
- (207) 377-2472
- Organisation at this address
- Lynda J. Mazzola S-L Pathologist Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 2355S0801X
2355S0801X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-12-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine