# WILLIAM N. LANDRY III MD, APMC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588271712
- **Authorized official:** WILLIAM N. LANDRY III M.D. (MEDICAL DOCTOR)
- **Authorized official phone:** (985) 892-1111

## Contact information

- **Practice address:** 121 LAKEVIEW CIRCLE, SUITE C, COVINGTON, LA 70433
- **Practice address phone:** (985) 892-1111
- **Practice address fax:** (985) 892-1116
- **Mailing address:** 121 LAKEVIEW CIRCLE, SUITE C, COVINGTON, LA 70433
- **Mailing address phone:** (985) 892-1111
- **Mailing address fax:** (985) 892-1116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/01/2020
- **Last updated:** 11/18/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1383066 | — | LA |