Shaw, Vincent Lee

Shaw, Vincent Lee is an individual health care provider with primary practice located at 3604 Nicholson Dr Ste 3 , Baton Rouge LA 70802-8602. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Shaw, Vincent Lee can be contacted via phone (225) 765-5500.

Contact Information

Primary practice address
3604 Nicholson Dr Ste 3 Baton Rouge LA 70802-8602
Phone: (225) 765-5500
Fax: (225) 374-9104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 026422 Louisiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 026422 Louisiana

Profile Details

NPI number 1154356491
LBN Legal business name Shaw, Vincent Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Sep 9th, 2025 - about last year

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 1154356491 NPPES
Louisiana MEDICAID 1058823
Louisiana Other 026422
Louisiana Other 4J728YJGU

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