Lasane, Shannen J

Lasane, Shannen J is an individual health care provider with primary practice located at 4006 Golf Village Loop Apt 2 , Lakeland FL 33809-4056. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Lasane, Shannen J can be contacted via phone (863) 604-0157.

Contact Information

Primary practice address
4006 Golf Village Loop Apt 2 Lakeland FL 33809-4056
Phone: (863) 604-0157
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X Florida

Profile Details

NPI number 1437769239
LBN Legal business name Lasane, Shannen J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2020
Last updated Aug 6th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437769239 NPPES
Florida MEDICAID 841897717

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