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Individual

DR. SANDRA K LANDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
4765 VILLAGE PLAZA LOOP, SUITE 100, EUGENE, OR 97401
(541) 342-3100
(541) 342-6153
Mailing address
4765 VILLAGE PLAZA LOOP, SUITE 100, EUGENE, OR 97401
(541) 342-3100
(541) 342-6153

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1776T
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000PHGKM
OR
Enumeration date
04/25/2007
Last updated
07/08/2007
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