National Provider Identifier
Shannon Lynn Lavender, MD
Shannon Lynn Lavender, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-2723.
Profile Overview
- NPI
- 1437951688
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- March 26, 2025
- Last Updated
- March 26, 2025
Practice Location
- 601 Elmwood Ave # Surg
- Rochester, NY 14642-0001
Phone: (585) 275-2723
Mailing Address
- 100 North St Apt 78
- Columbus, OH 43202-2093
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1437951688
- Entity Type
- Individual
- Last Name
- Lavender
- First Name
- Shannon
- Middle Name
- Lynn
- Credential
- MD
- Mailing Street Address
- 100 North St Apt 78
- Mailing City
- Columbus
- Mailing State
- OH
- Mailing ZIP Code
- 43202-2093
- Mailing Country
- US
- Practice Street Address
- 601 Elmwood Ave # Surg
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-2723
- Enumeration Date
- March 26, 2025
- Last Updated
- March 26, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 26, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)