Individual
MR. CHIP LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508
(337) 235-8007
(855) 270-5479
Mailing address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 235-8007
(855) 270-5479
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200829
LA
363AM0700X
Medical Physician Assistant
PA.200829
LA
363AS0400X
Surgical Physician Assistant
PA.200829
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018957100
—
FL
Enumeration date
06/24/2015
Last updated
02/18/2019
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