Individual
SHANNON HANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
819 LINCOLN ST, LAKE CHARLES, LA 70601-1954
(337) 794-6254
Mailing address
819 LINCOLN ST, LAKE CHARLES, LA 70601-1954
(337) 794-6254
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
006633000
LA
343900000X
Non-emergency Medical Transport (VAN)
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—
Other
Enumeration date
01/07/2020
Last updated
11/17/2021
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