Individual
SARAH JORDAN LANDRENEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ONE HOSPITAL DRIVE, COLUMBIA, MO 65212-0001
(573) 882-8091
(573) 884-1902
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2018021051
MO
207P00000X
Emergency Medicine Physician
Primary
2022017760
MO
207P00000X
Emergency Medicine Physician
85571
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200056153
—
MO
Enumeration date
06/21/2018
Last updated
11/10/2022
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