Individual
MR. LESLIE EARL LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
US DEPT OF STATE, OFFICE OF MEDICAL SERVICES, M/MED, WASHINGTON, DC 20520-0001
(202) 663-2453
Mailing address
US DEPT OFSTATE, OFFICE OF MEDICAL SERVICES M MED, WASHINGTON, DC 20520-0001
(360) 674-3576
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
17085
CA
Other
Enumeration date
07/31/2006
Last updated
03/30/2016
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