Landrum, Latraia Shanae

Landrum, Latraia Shanae is an individual health care provider with primary practice located at 2501 Capehart Rd , Offutt Afb NE 68113-1043. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Landrum, Latraia Shanae can be contacted via phone (719) 310-0627.

Contact Information

Primary practice address
2501 Capehart Rd Offutt Afb NE 68113-1043
Phone: (719) 310-0627
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101265749 Virginia
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 0101265749 Virginia

Profile Details

NPI number 1508386871
LBN Legal business name Landrum, Latraia Shanae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2017
Last updated Dec 9th, 2022 - about 3 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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