Provider Demographics
NPI:1881435683
Name:KNOWLES, SHAWNA LYNN (MA/PHLEBOTOMIST CPT)
Entity type:Individual
Prefix:MRS
First Name:SHAWNA
Middle Name:LYNN
Last Name:KNOWLES
Suffix:
Gender:F
Credentials:MA/PHLEBOTOMIST CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18308 MINOREA LN
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33936-6055
Mailing Address - Country:US
Mailing Address - Phone:239-791-2413
Mailing Address - Fax:
Practice Address - Street 1:18308 MINOREA LN
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936-6055
Practice Address - Country:US
Practice Address - Phone:239-355-8717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-05
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy