Individual
SHAKERA L MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1634 RYAN ST, LAKE CHARLES, LA 70601-5949
(337) 508-9023
Mailing address
PO BOX 19, LAKE CHARLES, LA 70602-0019
(337) 508-9023
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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