Individual
LINDSEY ALEXANDER PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 KINGS HWY, OTOLARYNGOLOGY, SHREVEPORT, LA 71103-4228
(318) 813-2690
(318) 813-2692
Mailing address
1501 KINGS HWY, OTOLARYNGOLOGY, SHREVEPORT, LA 71103-4228
(318) 813-2690
(318) 813-2692
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
MD.205826
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2144464
—
LA
Enumeration date
05/04/2011
Last updated
02/09/2017
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