Individual
LYNN BERNAIRD PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5247 DIDESSE DR, BATON ROUGE, LA 70808-9153
(225) 765-3076
(225) 765-3090
Mailing address
5247 DIDESSE DR, BATON ROUGE, LA 70808-9153
(225) 765-3076
(225) 765-3090
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN030357 AP02978
LA
363LG0600X
Gerontology Nurse Practitioner
Primary
030357
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1438855
—
LA
01
—
P00137724
RAILROAD MEDICARE
LA
Enumeration date
07/20/2005
Last updated
10/24/2013
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