Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Shannon DO, PA

Organization Primary Care Clinic/Center · NPI 1639718836

Lisa Shannon DO, PA is a Primary Care Clinic/Center in Bradenton, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

250 2nd St E Ste 3B
Bradenton, FL 34208-1027
Phone: (941) 746-4151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1639718836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Shannon — Physician · (941) 746-4151
NPI enumeratedJanuary 6, 2020
Last updated in NPPESSeptember 6, 2023
Certification dateJanuary 6, 2020
Mailing address250 2nd St E Ste 3b, Bradenton, FL 34208-1027

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