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Individual

GIA TYSON LANDRY

Active
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Individual

GIA TYSON LANDRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD.205626
LA
207RI0008X
Hepatology Physician
MD.205626
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08900255
MS
05
2317849
LA
Enumeration date
01/27/2007
Last updated
11/15/2023
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