Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | DO.000434 | LA |
N | 111NI0900X | Internist | DO.000434 | LA |
N | 207R00000X | Internist | DO.1315 | AL |
N | 111NI0900X | Internist | DO.1315 | AL |
Y | 207RP1001X | Pulmonary Disease | DO.000434 | LA |
NPI | 1033403944 |
---|---|
Provider Name | Dr. Courtney Lyn Shappley |
First Address | New Orleans, LA 70121-2429 |
Second Address | New Orleans, LA 70112-2600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2011 |
Last Update Date | 24/09/2018 |