Individual
POLLYANNA PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
2347 NW BELL AVE, LAWTON, OK 73505-6220
(318) 990-1247
Mailing address
2347 NW BELL AVE, LAWTON, OK 73505-6220
(318) 990-1247
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
164X00000X
Licensed Vocational Nurse
Primary
214278
OK
Other
Enumeration date
09/06/2017
Last updated
03/27/2026
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