Individual provider · Type 1 NPI

Laquanta S. Shaw, NON TYPICAL

Driver · Indianapolis, IN

NPI number 1730735903 Active

Practice location

4160 Tahoe Ct
Indianapolis, IN 46235-8823

Call (317) 627-8590 Map

Mailing address

55 S State Ave Ste 353
Indianapolis, IN 46201-3890

Specialties and licenses

TaxonomyCodeLicense
Home Health Aide 374U00000XHHA0901819 (IN)
Driver Primary 172A00000X2350-45-6933 (IN)

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

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About NPI 1730735903

Laquanta S. Shaw, NON TYPICAL's National Provider Identifier is 1730735903, issued on Aug 14, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 16, 2025.