Individual
DESTINY L LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 BOULET DR, LAFAYETTE, LA 70506-2212
(337) 230-3116
Mailing address
5520 JOHNSON ST, STE K PMB 1121, LAFAYETTE, LA 70503-2212
(337) 417-9948
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
09/11/2023
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