Individual
DR. BARRY G LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
604 NORTH ACADIA RD, SUITE 207, THIBODAUX, LA 70301
(985) 446-1763
(985) 446-9813
Mailing address
604 NORTH ACADIA RD, SUITE 207, THIBODAUX, LA 70301
(985) 446-1763
(985) 446-9813
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
016229
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1345041
—
LA
Enumeration date
08/11/2005
Last updated
10/27/2010
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