Individual
MR. LANDON K WHITWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
95 JUDGE TANNER BLVD, COVINGTON, LA 70433-7500
(985) 867-3800
Mailing address
PO BOX 1472, AMITE, LA 70422-1472
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
08001
LA
Other
Enumeration date
08/17/2014
Last updated
08/17/2014
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