Individual
JARED LANDRY
Active
Individual
JARED LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.206604
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106961
—
LA
01
—
300093737
RAILROAD MEDICARE PTAN
LA
Enumeration date
03/19/2010
Last updated
12/02/2024
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