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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DONALD LYNN SORRELLS JR., MD

Active

DONALD LYNN SORRELLS JR., MD is a Pediatric Surgery healthcare provider located in SHREVEPORT, Louisiana. NPI 1689672172 is currently active in the NPPES registry. Verify at CMS.

Pediatric Surgery · SHREVEPORT, LA

Registration Details

NPI Number
1689672172
Provider Type
Individual
Gender
Male
NPI Issued
Jul 8, 2005 (21.110117582769 yrs)
Last Updated
Jun 26, 2013
Licenses
021642 (LA)
MD.021642 (LA)

Practice Information

Address
2508 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA, 711183133
Browse LA providers · Browse ZIP 71118
Phone
3182125880
Fax
3182125885
Primary Specialty
Pediatric Surgery
2086S0120X
Additional Specialty
Pediatric Surgery

Other Pediatric Surgery Providers in SHREVEPORT, LA

Name Credential NPI
MR. MARK FREDERICK BROWN M.D. 1689672032
KEVIN MARK SITTIG M.D. 1104846989
DR. KEVIN NEAL BOYKIN M.D. 1710909163
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.