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Individual
SHANNON HAAS
Active
Individual
SHANNON HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
206688
LA
207Q00000X
Family Medicine Physician
22866
MS
207Q00000X
Family Medicine Physician
Primary
MD.206688
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
05/11/2010
Last updated
03/17/2018
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