Most Relevant Information
Provider Data
| NPI Number: | 1003277849 |
| Provider Name: | SHANNON LEWIS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/07/2016 |
| Last Updated: | 02/12/2023 |
Provider Practice Location
6808 W CORONET CT APT A
NEW ORLEANS
LA
701263380
Practice Location Phone/Fax
| Phone: | 5044050036 |
| Fax: |
Provider Mailing Location
6808 W CORONET CT APT A
NEW ORLEANS
LA
701263380
Provider Mailing Phone/Fax
| Phone: | 5044050036 |
| Fax: |