Individual
DONOVAN LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSRS, (R)(CT)
Contact information
Practice address
524 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5725
(337) 436-2511
Mailing address
2400 FENIMORE LOOP, WESTLAKE, LA 70669-5400
(337) 660-7601
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
12994
LA
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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