Individual
DR. LEANN MARIE SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1538 KANAWHA BLVD E, CHARLESTON, WV 25311-2435
(304) 344-3457
(304) 344-3480
Mailing address
500 N HIATUS RD STE 200, PEMBROKE PINES, FL 33026-5213
(954) 437-4800
(954) 437-6628
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
33617
WV
2085R0202X
Diagnostic Radiology Physician
Primary
ME145855
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2015
Last updated
08/12/2024
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