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PENNINGTON FACIAL PLASTICS, LLC
NPI 1619405404
Otolaryngology - Facial Plastic Surgery in Shreveport, LA

Active since May 24, 2017
345 DREXEL DR, SHREVEPORT, LA 71106(505) 715-3338 Get Directions Write a Review

NPPES record last updated: May 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pennington Facial Plastics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENNINGTON FACIAL PLASTICS, LLC (NPI 1619405404) is a healthcare organization registered as a facial plastic surgery in Shreveport, Louisiana and active in the NPI registry since May 2017. The organization lists Lindsey Pennington, Sole Mbr, as its authorized official.

NPPES Registry Identity

NPI1619405404
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NamePENNINGTON FACIAL PLASTICS, LLC
Location Address345 DREXEL DRShreveport, LA 71106-2305
Mailing Address345 Drexel DrShreveport, LA 71106-2305 · (505) 514-2609
Phone(505) 715-3338
Organization SubpartNo
Authorized OfficialLindsey PenningtonSole Mbr · (505) 715-3338
Enumeration DateMay 24, 2017
✔ NPI 1619405404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in LA · 205826
Definition
An otolaryngologist who specializes in facial plastic surgery.
345 DREXEL DR, Shreveport, LA 71106
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Other Identifiers 1

Medicaid2144464LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pennington Facial Plastics, LLC's NPI number?

The NPI number for Pennington Facial Plastics, LLC is 1619405404. It was assigned to this organization in the NPPES registry on May 24, 2017.

Where is Pennington Facial Plastics, LLC located?

Pennington Facial Plastics, LLC is located at 345 Drexel Dr, Shreveport, LA 71106. The listed phone number is (505) 715-3338.

What is Pennington Facial Plastics, LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

When was this NPI record last updated?

The NPPES record for Pennington Facial Plastics, LLC was last updated on May 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.