| Doctor Name: | DR. PATRICIA LYNNE SHELLY-LOHMAN |
| NPI Number: | 1609879600 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AU.D. |
| License Number: | AY641 |
| Business Practice Address: | 1411 S 14th Street, Suite F Amelia Audiology Amelia Island, FL - 320343092 |
| Business Phone Number: | 9044911515 |
| Business Fax Number: | 9044911513 |
| Mailing Address: | 1411 S 14th Street, Suite F, Amelia Audiology FERNANDINA BEACH |
| State: | FL |
| Postal Code: | 320343092 |
| Phone Number: | 9044911515 |
| Fax Number: | 9044911513 |
| NPI Enumeration Date: | 05/23/2005 |
| NPI Last Update Date: | 11/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 231HA2500X |
| License Number: | AY641 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist |
| Taxonomy Specialization: | Assistive Technology Supplier |
| Taxonomy Definition: | |