Individual
DR. JACOB EDWARD LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4809 AMBASSADOR CAFFERY PKWY STE 410, LAFAYETTE, LA 70508-8802
(337) 470-4881
(337) 470-4882
Mailing address
457 HEYMANN BLVD, LAFAYETTE, LA 70503
(337) 237-5774
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
304802
LA
Other
Enumeration date
04/08/2012
Last updated
09/03/2021
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