Individual
DR. MARY H SHERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 WALTERS ST, LAKE CHARLES, LA 70607-4647
(337) 480-8066
(337) 480-8109
Mailing address
P O BOX 122108 DEPT 2108, DALLAS, TX 75312-3594
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14581R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1150029
—
LA
01
—
MD.14581R
STATE MEDICAL LICENSE
LA
Enumeration date
02/25/2006
Last updated
04/29/2022
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