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MR. BLANDON EDWARD SORRELL II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
16065 LAMONTE DR, HAMMOND, LA 70403-1405
(985) 892-7070
(985) 892-7017
Mailing address
PO BOX 1089, HAMMOND, LA 70404-1089
(985) 892-7070
(985) 892-7017

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
211466
LA

Other

Enumeration date
02/16/2020
Last updated
01/12/2023
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