Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHENAN LARK
Active Sole ProprietorMR. SHENAN LARK is a Private Vehicle healthcare provider located in ANGEL FIRE, New Mexico. NPI 1104211655 is currently active in the NPPES registry. Verify at CMS.
Private Vehicle · ANGEL FIRE, NM
Registration Details
- NPI Number
- 1104211655
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2015 (11.34552727842 yrs)
- Last Updated
- Apr 1, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
28 ASPEN ST. # 205ANGEL FIRE, NM, 87710Browse NM providers · Browse ZIP 87710
- Phone
- 5056039282
- Primary Specialty
-
Private Vehicle
347C00000X
- Additional Specialty
- Driver
- Additional Specialty
- Private Vehicle
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.