NPI 1609546852

Shameka Shantl Simmons

Practitioner Driver Lake Charles, LA

Practice location

Address: 3267 Snowy Egret Dr, Lake Charles, LA 70615-5364
Phone: (337) 853-0474

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 006584019 (LA)

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Registry record

NPI: 1609546852
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Sep 2021
Record last updated: 19 Sep 2021

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.