Individual
SUZANNE LA LANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
431 NE REVERE AVE STE 200, BEND, OR 97701-4192
(541) 508-7973
(541) 508-7968
Mailing address
1698 E MCANDREWS RD STE 280, MEDFORD, OR 97504-5590
(541) 774-5808
(541) 732-3910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA190291
OR
Other
Enumeration date
10/05/2016
Last updated
07/19/2024
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