Individual
DR. MARK FALON LANDAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE-005894-T
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01712901
CAP BLUE CROSS
PA
01
—
LA193982
HIGHMARK BLUE SHIELD
PA
Enumeration date
11/04/2005
Last updated
02/21/2008
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