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Individual
SHERWOOD LAMAR GORDEY
Active
Individual
SHERWOOD LAMAR GORDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
937512T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1330817
—
LA
01
—
P00239383
RAILROAD MEDICARE
—
Enumeration date
10/25/2006
Last updated
07/08/2007
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