MR. SHENAN LARK
NPI 1104211655
Private Vehicle in Angel Fire, NM
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
Specialties & Licenses 3
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Shenan Lark · NPI 1104211655
Private Vehicle provider in Angel Fire, New Mexico. Individual provider, active in the CMS NPPES registry since April 1, 2015.
## Identity
- **NPI:** 1104211655 (Entity type: Individual)
- **Enumerated:** April 1, 2015
- **Primary specialty:** Private Vehicle · taxonomy 347C00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 28 ASPEN ST. # 205, Angel Fire, NM 87710
- **Phone:** (505) 603-9282
## Record status
- **NPPES last updated:** April 1, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1104211655) · Data from the CMS NPPES public registry.