Individual
REBECCA A LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4003 W CONGRESS ST, LAFAYETTE, LA 70506-6801
(337) 993-5730
(337) 993-5734
Mailing address
4003 W CONGRESS ST, LAFAYETTE, LA 70506-6801
(337) 993-5730
(337) 993-5734
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
930233
LA
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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