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Individual

MR. JONATHAN EDWARD SORREL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1420 N CAUSEWAY BLVD, MANDEVILLE, LA 70471
(985) 327-5905
(205) 623-1080
Mailing address
1420 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-3104
(985) 327-5905
(205) 623-1080

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
308153
LA
207Y00000X
Otolaryngology Physician
T-2722
MS

Other

Enumeration date
06/30/2013
Last updated
04/21/2021
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