Landry, Lauren Ann

Landry, Lauren Ann is an individual health care provider with primary practice located at 8383 Millicent Way , Shreveport LA 71115-5207. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Landry, Lauren Ann can be contacted via phone (318) 797-6661.

Contact Information

Primary practice address
8383 Millicent Way Shreveport LA 71115-5207
Fax: (318) 795-8512
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 019442 Louisiana

Profile Details

NPI number 1336146612
LBN Legal business name Landry, Lauren Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated May 8th, 2024 - about 7 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336146612 NPPES
Louisiana Other 080133847 RR MEDICARE
Louisiana Other 8386236006 RR MEDICARE
Louisiana MEDICAID 1908126 RR MEDICARE
Louisiana Other 4575479 RR MEDICARE
Louisiana Other B008 RR MEDICARE

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