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Individual

MRS. SHAWNDOLYN KENYITTA LEBINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
539 BERTRAND DR, LAFAYETTE, LA 70506-5556
(337) 294-1230
(833) 749-0347
Mailing address
PO BOX 616788, ORLANDO, FL 32861-6788
(407) 533-6836
(407) 770-0661

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07033
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2317300
LA
Enumeration date
08/27/2012
Last updated
11/16/2021
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