Individual
DR. JOSHUA SCOTT LANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4809 AMBASSADOR CAFFERY PKWY, SUITE 200, LAFAYETTE, LA 70508-6917
(337) 988-8880
(337) 988-8883
Mailing address
4809 AMBASSADOR CAFFERY PKWY, SUITE 200, LAFAYETTE, LA 70508-6917
(337) 988-8880
(337) 988-8883
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD.200696
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1061476
—
LA
01
—
P00654908
PALMETTO GBA - RAILROAD MEDICARE
LA
Enumeration date
11/14/2007
Last updated
08/14/2012
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