Individual
DR. JAMES LYNN BORDELON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4239 HIGHWAY 1192, SUITE 300, MARKSVILLE, LA 71351-4711
(318) 253-7767
(318) 253-7756
Mailing address
4239 HIGHWAY 1192, SUITE 300, MARKSVILLE, LA 71351-4771
(318) 253-7767
(318) 253-7756
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M1525
TX
208600000X
Surgery Physician
Primary
MD.201214
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011959
—
LA
Enumeration date
07/03/2006
Last updated
04/18/2012
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