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Individual

SARAH CHERIYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
206 GASLIGHT BLVD, LUFKIN, TX 75904
(936) 639-1110
(936) 639-2466
Mailing address
206 GASLIGHT BLVD, LUFKIN, TX 75904
(936) 639-1110
(936) 639-2466

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
K0680
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029971101
TX
01
8CG306
BCBS
Enumeration date
04/04/2006
Last updated
11/17/2010
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