Organization
JASON A LANDRY MD A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
JASON A LANDRY A PROFESSIONAL MEDICAL CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
JASON A LANDRY M.D. (OWNER)
(337) 706-7966
Entity
Organization
Contact information
Practice address
101 LA RUE FRANCE, SUITE 303, LAFAYETTE, LA 70508-3144
(337) 706-7966
(337) 706-7988
Mailing address
101 LA RUE FRANCE, SUITE 303, LAFAYETTE, LA 70508-3144
(337) 706-7966
(337) 706-7988
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
201584
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1893277
—
LA
Enumeration date
05/28/2010
Last updated
10/04/2010
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