Individual
CHRISTINA RENEE LANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4665 E SUNSET DR, SYRACUSE, IN 46567-9168
(866) 627-8233
Mailing address
6003 HATHAWAY RD, FORT WAYNE, IN 46818-9545
(260) 637-5673
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27065118A
LPN
IN
Enumeration date
10/04/2010
Last updated
10/04/2010
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