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Carla Shankle

Driver in Lake Charles, LA. Individual provider (NPI-1).

NPI number1124575014
StatusActive
Last updated in NPPESSep 8, 2016

Details

NPI
1124575014
Entity type
Individual (NPI-1)
Name
Carla Shankle
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 8, 2016
Last updated
Sep 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172A00000X Driver––Yes

Practice location

330 Alamo St Ste 7
Lake Charles, LA 70601-8584

Phone 337-602-6410 · Fax 281-242-2701

Mailing address

4400 Ambassador Caffery Pkwy # 156a
Lafayette, LA 70508-6760

Phone 337-347-5719 · Fax 281-242-2701

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Driver providers in Lake Charles, LA

All 8 Driver providers in Lake Charles · All 3,953 providers in Lake Charles

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