Individual
DR. CLYDE EDWARD LANDRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 SHADOWS BEND, NEW IBERIA, LA 70563
(337) 519-3399
(337) 369-6829
Mailing address
41 SHADOW BND, NEW IBERIA, LA 70563-1738
(337) 519-3399
(337) 369-6829
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
010907
LA
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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