# DWIGHT LAWRENCE MCKENNA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1316056419
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 03347R | LA | — |
| 208D00000X | General Practice Physician | MD03347R | LA | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 06/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1129267 | — | LA |
| 01 | — | F4229 | BLUE CROSS/BLUE SHIELD | LA |
| 01 | — | UP4206 | UNITED HEALTHCARE | LA |