Individual
DR. SHAWN PATRICK GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
908 S 10TH ST STE A, LEESVILLE, LA 71446-4614
(337) 392-2330
(337) 392-2580
Mailing address
908 S 10TH ST STE A, LEESVILLE, LA 71446-4614
(337) 392-2330
(337) 392-2580
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11865R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1499862
—
LA
Enumeration date
05/10/2006
Last updated
07/09/2020
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