Individual provider · Type 1 NPI

Carla Shankle

Driver · Lake Charles, LA

NPI number 1124575014 Active

Practice location

330 Alamo St Ste 7
Lake Charles, LA 70601-8584

Call (337) 602-6410 Map

Fax (281) 242-2701

Mailing address

4400 Ambassador Caffery Pkwy # 156A
Lafayette, LA 70508-6760

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1124575014

Carla Shankle's National Provider Identifier is 1124575014, issued on Sep 8, 2016. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Lake Charles, LA. The record was last updated on Sep 8, 2016.