# LANDRY OSTEOPATHIC HEALTHCARE PA LLC

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

## Provider details

- **NPI number:** 1699238907
- **Authorized official:** CHARLES LANDRY DO (OWNER)
- **Authorized official phone:** (207) 241-0401

## Contact information

- **Practice address:** 871 COURT ST, AUBURN, ME 04210-3903
- **Practice address phone:** (207) 241-0401
- **Mailing address:** 871 COURT ST, AUBURN, ME 04210-3903
- **Mailing address phone:** (207) 241-0401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 04/12/2019
- **Last updated:** 06/11/2019