Individual
ALICE L LANDRUM
Active
Individual
ALICE L LANDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MDR6H66
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102534
HEALTHLINK
MO
01
—
127254
BLUE SHIELD/BLUE CHOICE
MO
01
—
2004020
UNITED HEALTHCARE
MO
05
—
202509006
—
MO
01
—
527465
IOWA MEDICAID
IA
Enumeration date
04/21/2006
Last updated
06/20/2012
Update your record
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