Individual
SONJA ANN GENNUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
E9449
AR
207L00000X
Anesthesiology Physician
Primary
MD.207876
LA
Other
Enumeration date
04/28/2011
Last updated
07/23/2025
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