Individual
MARY LEE CHERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
204 HIGHLAND PARK PLZ, COVINGTON, LA 70433-7129
(985) 809-3883
(985) 809-3886
Mailing address
204 HIGHLAND PARK PLAZA, COVINGTON, LA 70433-7233
(985) 809-3883
(985) 809-3886
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
020710
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020710
STATE MEDICAL LICENSE
LA
05
—
1967874
—
LA
Enumeration date
05/10/2006
Last updated
08/05/2008
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