Individual
DR. NICOLE LEANNE LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1718 E KESSLER BLVD, LONGVIEW, WA 98632-1842
(360) 747-5800
(360) 575-3846
Mailing address
1718 E KESSLER BLVD, LONGVIEW, WA 98632-1842
(603) 747-5800
(360) 575-3846
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5875 - 851
WI
207Q00000X
Family Medicine Physician
Primary
MD60855874
WA
Other
Enumeration date
06/29/2015
Last updated
12/16/2024
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