SearchArizona163W00000X

Shannon Plane

NPI 1306292974 · on the registry since 2016

Practice

Address
2395 Smoketree Ave N
Lake Havasu City, AZ 86403
Phone
(928) 855-3066
Clinicians at this address
7

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-05-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona