Individual
MR. GERALD LYNN COCKERHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1810 E 70TH ST, SUITE 400, SHREVEPORT, LA 71105-5337
(318) 797-7733
(318) 797-7731
Mailing address
1810 E 70TH ST, SUITE 400, SHREVEPORT, LA 71105-5337
(318) 797-7733
(318) 797-7731
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
130
LA
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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