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SHERWOOD LAMAR GORDEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
210 SERIO BLVD, FERRIDAY, LA 71334
(318) 757-3440
(318) 757-3446
Mailing address
210 SERIO BLVD, FERRIDAY, LA 71334
(318) 757-3440
(318) 757-3446

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
937512T
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1330817
LA
01
P00239383
RAILROAD MEDICARE
Enumeration date
10/25/2006
Last updated
07/08/2007
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