Individual
MR. SHANE ERIN SANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 BROOKLYN AVE, JEFFERSON, LA 70121-2834
(504) 491-3902
Mailing address
301 BROOKLYN AVE, JEFFERSON, LA 70121-2834
(504) 491-3902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO.000223
LA
Other
Enumeration date
04/28/2009
Last updated
11/23/2016
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