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

Shannon Marie Lavis, PA

Individual provider Physician Assistant · NPI 1255883310

Shannon Marie Lavis, PA is a Physician Assistant in Albany, New York. Works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

315 S Manning Blvd 0203 McAuley
Albany, NY 12208-1707
Phone: (518) 525-1550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 600 Northern Blvd, Albany, NY 12204-1004 — (518) 471-3221
  • 2215 Burdett Ave, Troy, NY 12180-2466 — (518) 271-3300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 020291 (NY)

Record details

NPI number1255883310
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 25, 2016
Last updated in NPPESMay 19, 2021
Certification dateMay 19, 2021

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