Individual
LAMAR F SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA/HCM
Contact information
Practice address
206 N FRONT ST, WARSAW, NC 28398-1833
(910) 293-4919
(910) 293-4533
Mailing address
PO BOX 586, WARSAW, NC 28398-0586
(910) 293-4919
(910) 293-4533
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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