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Shawna Renee Leong

NPI Registration Record

Provider / OrganizationNPIDate Certified
SHAWNA RENEE LEONG18913496432020-10-11
Entity TypeIndividual
Provider NameMrs. Shawna Renee Leong FNP
Practice Office Address2539 VIKING DR STE 101
BOSSIER CITY, LA US
Practice Office Telephone3187478100
Mailing Address2539 VIKING DR STE 101
BOSSIER CITY, LA 711112165 US
Business Telephone3187478100
Business Fax3187478150
Offices / Locations
AddressCity / StatePhone / Fax
5390 Barksdale Blvd Ste 200 Bossier City, LA 711124526 3187478100
HPT Codes
CodeLicense NoState
363LF0000X PRIMARY206977 LA
OPI Codes

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