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MR. SHENAN LARK
NPI 1104211655
Private Vehicle in Angel Fire, NM

Active since April 01, 2015
28 ASPEN ST. # 205, ANGEL FIRE, NM 87710(505) 603-9282 Get Directions Write a Review

NPPES record last updated: April 1, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Shenan Lark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHENAN LARK (NPI 1104211655) is an individual private vehicle provider in Angel Fire, New Mexico and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1104211655
Entity TypeIndividualMale
Primary Taxonomy347C00000X
Provider Legal NameMR. SHENAN LARK
Location Address28 ASPEN ST. # 205Angel Fire, NM 87710
Mailing AddressPo Box 1522Angel Fire, NM 87710-1522 · (505) 603-9282
Phone(505) 603-9282
Sole ProprietorYes
Enumeration DateApril 1, 2015
✔ NPI 1104211655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPrivate VehicleTransportation Services
Taxonomy Code347C00000X
Definition

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Also ListedPersonal Emergency Response AttendantTaxonomy 146D00000X
Also ListedDriverTaxonomy 172A00000X
28 ASPEN ST. # 205, Angel Fire, NM 87710
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shenan Lark's NPI number?

The NPI number for Shenan Lark is 1104211655. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Shenan Lark located?

Shenan Lark practices at 28 Aspen St. # 205, Angel Fire, NM 87710. The listed phone number is (505) 603-9282.

What is Shenan Lark's specialty?

The primary specialty registered for this NPI is Private Vehicle with taxonomy code 347C00000X.

When was this NPI record last updated?

The NPPES record for Shenan Lark was last updated on April 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.