NPI 1013427491
Steven Shane Johnson
Practice location
- Address
- 2829 4th Ave, Lake Charles, LA 70601-7887
- Phone
- (337) 477-7091
- Fax
- (337) 474-4552
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1013427491
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Oct 2017
- Record last updated
- 11 Oct 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.