Individual
JOHN LEWIS SFONDOURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1202 S TYLER ST, COVINGTON, LA 70433
(985) 445-3644
(985) 250-9915
Mailing address
PO BOX 1089, COVINGTON, LA 70434-1089
(985) 445-3644
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
PGY.1.LSUN-OTOL
LA
2085R0202X
Diagnostic Radiology Physician
Primary
MD.202934
LA
Other
Enumeration date
06/11/2008
Last updated
02/20/2019
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