Individual
DR. BEVERLY L. LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13301 MILES AVENUE, CLEVELAND, OH 44105
(216) 751-3100
Mailing address
13301 MILES AVENUE, CLEVELAND, OH 44105
(216) 751-3100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35057438
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0721357
—
OH
Enumeration date
10/02/2006
Last updated
11/20/2015
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