MR. Shane Erin Sanne

NPI #1073757506 in Jefferson, Louisiana

Provider Information

NPI Number: 1073757506
Entity Type: Individual
Name: MR. Shane Erin Sanne
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Enumeration Date: Apr 28, 2009
Last Updated: Nov 23, 2016

Practice Location

Address: 301 BROOKLYN AVE
City: Jefferson
State: Louisiana
ZIP Code: 70121-2834
Phone: (504) 491-3902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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