Landrum, Connie Lou

Landrum, Connie Lou is an sole proprietor health care provider with primary practice located at 641 Diamond Vista Dr , Port Angeles WA 98363. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Landrum, Connie Lou can be contacted via phone (360) 417-1027.

Contact Information

Primary practice address
641 Diamond Vista Dr Port Angeles WA 98363
Phone: (360) 417-1027
Fax: (360) 417-1028
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD00033643 Washington

Profile Details

NPI number 1043540651
LBN Legal business name Landrum, Connie Lou
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2010
Last updated Jan 4th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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