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Individual
BLAKE C. LANDRY
Active
Individual
BLAKE C. LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
022661
LA
207V00000X
Obstetrics & Gynecology Physician
022661
LA
207V00000X
Obstetrics & Gynecology Physician
Primary
ME174917
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005507718
AETNA
LA
05
—
128831500
—
FL
05
—
1494895
—
LA
01
—
153236130118
HUMANA
LA
01
—
720847461 0009
CIGNA
LA
Enumeration date
06/23/2005
Last updated
10/30/2025
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