Provider Demographics
NPI:1588805576
Name:PENTON, ALISON TRAPPEY (MD)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:TRAPPEY
Last Name:PENTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 S COLLEGE RD
Mailing Address - Street 2:BUILDING 5
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2907
Mailing Address - Country:US
Mailing Address - Phone:337-235-6886
Mailing Address - Fax:
Practice Address - Street 1:1245 S COLLEGE RD
Practice Address - Street 2:BUILDING 5
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2907
Practice Address - Country:US
Practice Address - Phone:337-235-6886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-20
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.205390207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology