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Organization
LANDRY OSTEOPATHIC HEALTHCARE PA LLC
Active
Organization
LANDRY OSTEOPATHIC HEALTHCARE PA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES LANDRY DO (OWNER)
(207) 241-0401
Entity
Organization
Contact information
Practice address
871 COURT ST, AUBURN, ME 04210-3903
(207) 241-0401
Mailing address
871 COURT ST, AUBURN, ME 04210-3903
(207) 241-0401
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
NULL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
04/12/2019
Last updated
06/11/2019
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