Individual
LILY MOORE LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 6TH AVE S, SAINT PETERSBURG, FL 33701-4634
(727) 767-3728
Mailing address
501 6TH AVE S, SAINT PETERSBURG, FL 33701-4634
(727) 767-3728
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
T6938
TX
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME162790
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2016
Last updated
01/15/2025
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