Individual provider · NPI-1

David Joseph Landry, M.D.

Family Medicine · Lake Charles, LA

NPI number1811281314
StatusActive
Last updated in NPPESJun 16, 2021

Details

NPI
1811281314
Entity type
Individual (NPI-1)
Name
David Joseph Landry
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 2, 2011
Certification date
Jun 16, 2021
Last updated
Jun 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD.207034LAYes
207P00000X Emergency MedicineGETP.200854LA
208M00000X HospitalistMD.207034LA

Practice location

4200 Nelson Rd
Lake Charles, LA 70605-4118

Phone 337-475-4748 · Fax 337-944-4421

Mailing address

5000 Lake St Unit 7579
Lake Charles, LA 70606-5348

Phone 337-302-4239 · Fax 337-944-4421

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