# LANDERS INTERNAL MEDICINE, LLC

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

## Provider details

- **NPI number:** 1790082204
- **Authorized official:** DR. JOSEPH D. LANDERS M.D. (OWNER)
- **Authorized official phone:** (985) 778-6122

## Contact information

- **Practice address:** 507 EVERGREEN DR, MANDEVILLE, LA 70448-7574
- **Practice address phone:** (985) 778-6122
- **Mailing address:** PO BOX 283, MANDEVILLE, LA 70470-0283
- **Mailing address phone:** (985) 778-6122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 023138 | LA | Yes |

## Other

- **Enumeration date:** 02/17/2011
- **Last updated:** 02/17/2011