Individual
SHELLY L. GUILLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2025 SAM'S WAY, SAM'S OPTICAL, LAKE CHARLES, LA 70601
(337) 477-5272
(337) 477-6175
Mailing address
504 GIST LN, LAKE CHARLES, LA 70611-4634
(337) 855-4617
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1257-411T
LA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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