Individual
DR. ALEJANDRO PENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
352 HOSPITAL BLVD., PINEVILLE, LA 71361-5352
(318) 448-0811
Mailing address
2004 ALBERT ST, ALEXANDRIA, LA 71301-6309
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04671R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19733
—
LA
Enumeration date
08/30/2006
Last updated
07/08/2007
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