Landry, Gia Tyson
Landry, Gia Tyson is an individual health care provider with primary practice located at 9001 Summa Ave , Baton Rouge LA 70809-3726. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hepatology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Landry, Gia Tyson can be contacted via phone (225) 761-5219.Contact Information
Primary practice address
9001 Summa Ave
Baton Rouge LA 70809-3726
Phone: (225) 761-5219
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | MD.205626 | Louisiana |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD.205626 | Louisiana |
Profile Details
NPI number | 1053467365 |
---|---|
LBN Legal business name | Landry, Gia Tyson |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 27th, 2007 |
Last updated | Nov 15th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053467365 | NPPES |
Mississippi | MEDICAID | 08900255 | |
Mississippi | MEDICAID | 2317849 |
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