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Individual

SHARON K TOMBERLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(985) 898-4417
Mailing address
PO BOX 15239, BATON ROUGE, LA 70895-5239
(800) 287-7462

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
L015225
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1364266
LA
Enumeration date
08/18/2005
Last updated
01/29/2013
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