Louisiana State University Health Sciences Center Viral Disease Clini
NPI #1285635540 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1285635540
- Entity Type
- Organization
- Organization Name
- Louisiana State University Health Sciences Center Viral Disease Clini
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 9, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 6670 SAINT VINCENT AVE
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71106-2638
- Phone
- (318) 862-9986
Authorized Official
- Name
- DR. ROBERT PENN, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (318) 798-5930
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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