institution
Pennington Facial Plastics, Llc
Facial Plastic Surgery Physician in Shreveport, Louisiana
NPI 1619405404

Pennington Facial Plastics, Llc is a Facial Plastic Surgery Physician based in Shreveport, LA and is specialized in Facial Plastic Surgery. Pennington Facial Plastics, Llc practices in Shreveport, LA. The NPI Number for Pennington Facial Plastics, Llc is 1619405404 and holds a License No. 205826 (Louisiana).

The current practice location address for Pennington Facial Plastics, Llc is 345 Drexel Dr, Shreveport, LA and can be reached out via phone at 505-715-3338. You can also correspond with Pennington Facial Plastics, Llc through the mailing address at 345 DREXEL DR, SHREVEPORT, LA - 71106-2305 (mailing address contact number: 505-514-2609).

Location: 345 Drexel Dr, Shreveport, LA, 71106-2305
institution
Provider Profile Details
NPI Number
1619405404
Provider Name
Pennington Facial Plastics, Llc
Credential
Provider Entity Type
Organization
Address
345 Drexel Dr, Shreveport, LA, 71106-2305
Phone Number
505-715-3338
Fax Number
Provider Enumeration Date
05/24/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2144464 05 LA
institution
Provider Business Practice Location Address Details
Address
345 Drexel Dr
City
State
Zip
71106-2305
Phone Number
505-715-3338
Fax Number
person
Provider Business Mailing Address Details
Address
345 Drexel Dr
City
State
Zip
71106-2305
Phone Number
505-715-3338
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
License No.
205826 (Louisiana)
Definition
An otolaryngologist who specializes in facial plastic surgery.
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