Individual
DR. JASON ALTON LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3149 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-7209
(337) 706-3459
Mailing address
3149 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-7209
(337) 706-3459
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 201584
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1893277
—
LA
Enumeration date
04/18/2007
Last updated
02/20/2017
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