Individual
LANE THOMAS LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1061 OSCAR GUIDRY RD, SAINT MARTINVILLE, LA 70582-6213
(337) 680-1002
Mailing address
1061 OSCAR GUIDRY RD, SAINT MARTINVILLE, LA 70582-6213
(337) 680-1002
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000035279
—
Other
Enumeration date
01/22/2019
Last updated
05/22/2019
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