Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 35-073469 | OH |
NPI | 1265400238 |
---|---|
Provider Name | Dr. Elizabeth Shaughnessy |
First Address | Cincinnati, OH 45263-6256 |
Second Address | Cincinnati, OH 45267-1000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 12/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F60483 | (02) | OH |