MR. SHANE SANNE

Internal Medicine

Active Individual
NPI: 1073757506

Practice Address

301 BROOKLYN AVE
Jefferson, LA 70121

Phone: (504) 491-3902

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X Yes DO.000223 (LA)

Frequently Asked Questions

NPI 1073757506 is the National Provider Identifier for MR. SHANE SANNE, a Internal Medicine provider located in Jefferson, LA. This NPI was enumerated on April 28, 2009.
MR. SHANE SANNE practices at 301 BROOKLYN AVE, Jefferson, LA 70121.

Quick Facts

NPI
1073757506
Type
Individual
Enumerated
Apr 28, 2009
Last Updated
Nov 23, 2016

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