Mrs Shannon Louise Lis, CPNP - Registered Nurse in Coronado, CA

Mrs Shannon Louise Lis, CPNP is a Registered Nurse - Pediatrics based in Coronado, California. Mrs Shannon Louise Lis is licensed to practice in California (license number 487112) and her current practice location is 62 Port Of Spain Rd, Coronado, California. She can be reached at her office (for appointments etc.) via phone at (619) 628-0183.

NPI number for Mrs Shannon Louise Lis is 1043726995 and her current mailing address is 62 Port Of Spain Rd, Coronado, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043726995.

Contact Information

Mrs Shannon Louise Lis, CPNP
62 Port Of Spain Rd,
Coronado, CA 92118-3226
(619) 628-0183
Not Available

Map and Direction




Provider's Profile

Full NameMrs Shannon Louise Lis
GenderFemale
SpecialityRegistered Nurse - Pediatrics
Location62 Port Of Spain Rd, Coronado, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043726995
  • Provider Enumeration Date: 12/14/2017
  • Last Update Date: 12/14/2017

Medical Identifiers

Medical identifiers for Mrs Shannon Louise Lis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043726995NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0200XRegistered Nurse - Pediatrics 487112 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shannon Louise Lis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Shannon Louise Lis, CPNP
62 Port Of Spain Rd,
Coronado, CA 92118-3226

Ph: (619) 628-0183
Mrs Shannon Louise Lis, CPNP
62 Port Of Spain Rd,
Coronado, CA 92118-3226

Ph: (619) 628-0183

Reviews and Comments


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