Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANE JOSEPH LARUE, MD
ActiveDR. SHANE JOSEPH LARUE, MD is a Clinical Cardiac Electrophysiology healthcare provider located in HANNIBAL, Missouri. NPI 1811955180 is currently active in the NPPES registry. Verify at CMS.
Clinical Cardiac Electrophysiology · HANNIBAL, MO
Registration Details
- NPI Number
- 1811955180
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2006 (20.099931997253 yrs)
- Last Updated
- Mar 3, 2021
- Licenses
-
2009013305 (MO)2009013305 (MO)
Practice Information
- Address
-
100 MEDICAL DRHANNIBAL, MO, 634016877Browse MO providers · Browse ZIP 63401
- Phone
- 5732313167
- Fax
- 5732211659
- Primary Specialty
-
Clinical Cardiac Electrophysiology
207RA0001X
- Additional Specialty
- Clinical Cardiac Electrophysiology
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.