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Individual

SHANNING RENEE LEVI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4401 5TH AVE # A3, LAKE CHARLES, LA 70607-2832
(337) 802-6724
Mailing address
6859 TOM HEBERT RD #503, LAKE CHARLES, LA 70607-2832
(337) 802-6724

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30004990
LA
376K00000X
Nurse's Aide
LA

Other

Enumeration date
04/01/2022
Last updated
08/10/2025
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