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

Shannon Pavlak

Individual provider Physician Assistant · NPI 1063393718

Shannon Pavlak is a Physician Assistant in East Lansing, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

909 Wilson Rd
East Lansing, MI 48824-6410
Phone: (517) 353-2460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1063393718
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2025
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

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