Shanna Larochelle

NPI #1508352311 in Kewaunee, Wisconsin

Provider Information

NPI Number: 1508352311
Entity Type: Individual
Name: Shanna Larochelle
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jul 4, 2018
Last Updated: Nov 17, 2023

Practice Location

Address: 1020 MARQUETTE DR
City: Kewaunee
State: Wisconsin
ZIP Code: 54216-1782
Phone: (920) 388-0144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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