Individual
SHEA LEDOUX HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1747 IMPERIAL BLVD, LAKE CHARLES, LA 70605-5362
(337) 721-7236
(337) 721-7237
Mailing address
501 DOCTOR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8360
(337) 312-6708
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200227
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1461091
—
LA
Enumeration date
11/19/2008
Last updated
01/15/2025
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