Individual
DEBORAH B LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4847
(985) 493-4750
Mailing address
PO BOX 1449, THIBODAUX, LA 70302-1449
(985) 446-8994
(985) 447-8385
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
034015
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1921289
—
LA
Enumeration date
11/09/2006
Last updated
07/08/2007
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