Organization · Type 2 NPI
Pennington Facial Plastics, LLC
Facial Plastic Surgery Physician · Shreveport, LA
NPI number
1619405404
Active
Practice location
345 Drexel Dr
Shreveport, LA 71106-2305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician Primary | 207YS0123X | 205826 (LA) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
Other facial plastic surgery physician providers in Shreveport
About NPI 1619405404
Pennington Facial Plastics, LLC's National Provider Identifier is 1619405404, issued on May 24, 2017. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Shreveport, LA. The record was last updated on May 24, 2017.