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Individual

DR. JUDSON LEIGH PENTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 235-8007
(337) 235-8008
Mailing address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 235-8007
(337) 235-8008

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD.202273
LA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
202273
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1237701
LA
Enumeration date
08/16/2007
Last updated
02/26/2025
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