Individual
SHANNON LEWKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 N THEARD ST, COVINGTON, LA 70433-2835
(985) 892-2276
Mailing address
321 N THEARD ST, COVINGTON, LA 70433-2835
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6128
—
LA
Enumeration date
08/04/2022
Last updated
08/04/2022
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