PENNINGTON FACIAL PLASTICS, LLC
Organization (NPI-2)
Active
Otolaryngology, Facial Plastic Surgery
Provider Information
- NPI Number
1619405404- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 345 DREXEL DR, SHREVEPORT, LA, 711062305
- Phone
- (505) 715-3338
Specialties & Taxonomies
Otolaryngology, Facial Plastic Surgery
Primary License: LA #205826