National Provider Identifier

Shannon Stoll, LPN

Shannon Stoll, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Ontario, NY and a listed phone number of (585) 794-2981.

NPI 1952078248Ontario, NYLicensed Practical Nurse

Profile Overview

NPI
1952078248
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 25, 2021
Last Updated
August 25, 2021

Practice Location

  • 1045 Lakemist Trl
  • Ontario, NY 14519-9406

Phone: (585) 794-2981

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1952078248
Entity Type
Individual
Last Name
Stoll
First Name
Shannon
Credential
LPN
Mailing Street Address
1045 Lakemist Trl
Mailing City
Ontario
Mailing State
NY
Mailing ZIP Code
14519-9406
Mailing Country
US
Practice Street Address
1045 Lakemist Trl
Practice City
Ontario
Practice State
NY
Practice ZIP Code
14519-9406
Practice Country
US
Practice Phone
(585) 794-2981
Enumeration Date
August 25, 2021
Last Updated
August 25, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
August 25, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)