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Shannon Dale

NPI 1730003500 · on the registry since 2026 · sole proprietor

Practice

Address
8511 Timberwood Ln
Haughton, LA 71037
Phone
(318) 935-1900

Registry record

Primary taxonomy
163WP2201X
163WP2201X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-05

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 Louisiana