Provider Demographics
NPI:1447043146
Name:LEGIER, SHANNA K (MS, RD, LDN)
Entity type:Individual
Prefix:MRS
First Name:SHANNA
Middle Name:K
Last Name:LEGIER
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:SHANNA
Other - Middle Name:K
Other - Last Name:LUNDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21 CUTLASS LN
Mailing Address - Street 2:
Mailing Address - City:FLORIEN
Mailing Address - State:LA
Mailing Address - Zip Code:71429-4921
Mailing Address - Country:US
Mailing Address - Phone:225-240-2309
Mailing Address - Fax:
Practice Address - Street 1:21 CUTLASS LN
Practice Address - Street 2:
Practice Address - City:FLORIEN
Practice Address - State:LA
Practice Address - Zip Code:71429-4921
Practice Address - Country:US
Practice Address - Phone:225-240-2309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA00967966133V00000X
LA2229133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered