Individual
DR. KAREN M'LISS PENDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6030 LINE AVE, SUITE 210, SHREVEPORT, LA 71106-2062
(318) 550-0050
(318) 550-0053
Mailing address
6030 LINE AVE, SUITE 210, SHREVEPORT, LA 71106-2062
(318) 550-0050
(318) 550-0053
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
017966
LA
2083P0901X
Public Health & General Preventive Medicine Physician
017966
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1970701
—
LA
Enumeration date
10/05/2007
Last updated
10/05/2007
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