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Individual

JON DAVID SORRELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HIS

Contact information

Practice address
2626 COUNTRY CLUB RD, LAKE CHARLES, LA 70605-5912
(337) 240-6600
Mailing address
555 DR MICHAEL DEBAKEY DR STE 104, LAKE CHARLES, LA 70601-5700
(337) 436-3277
(337) 439-3051

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1305
LA

Other

Enumeration date
12/17/2019
Last updated
11/27/2023
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