Individual
DR. MICHAEL DAVID LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1430 TULANE AVE, DEPARTMENT OF MEDICINE SL 16, NEW ORLEANS, LA 70112-2632
(504) 988-6128
Mailing address
60411 LILAC DR, LACOMBE, LA 70445-3011
(985) 882-9261
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
024563
LA
208000000X
Pediatrics Physician
024563
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1573477
—
LA
Enumeration date
09/01/2006
Last updated
01/20/2011
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