Individual
MRS. PENNY HAWKES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1036 W AIRLINE HWY, SUITE 119, LA PLACE, LA 70068-3736
(985) 652-3300
(985) 652-1843
Mailing address
1036 W AIRLINE HWY, SUITE 119, LA PLACE, LA 70068-3736
(985) 652-3300
(985) 652-1843
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306991
—
LA
Enumeration date
09/27/2007
Last updated
09/27/2007
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