Smith, Shannon Lara

Smith, Shannon Lara is an individual health care provider with primary practice located at 3200 Adeline Street , Berkeley CA 94703-3501. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Smith, Shannon Lara can be contacted via phone (415) 859-6264.

Contact Information

Primary practice address
3200 Adeline Street Berkeley CA 94703-3501
Phone: (415) 859-6264
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1336329564
LBN Legal business name Smith, Shannon Lara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2007
Last updated Jul 31st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers