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Search › Louisiana › 101YA0400X

Lisa Penn, CAC

NPI 1093021214 · on the registry since 2010

Practice

Address
1310 N Hearne Ave
Shreveport, LA 71107
Phone
(318) 676-5111
Fax
(318) 676-5137
Organisation at this address
Genoa Healthcare Llc
Shreveport Mental Health
Department Of Health & Hospital
Shreveport Mental Health Center
Shreveport Mental Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
58

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana