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Contact Information

JASON D LANDRY, MD
121 RUE LOUIS XIV
BUILDING 9, SUITE A
LAFAYETTE, LA70508
 Phone: 337-988-9737
 Fax: 337-988-9739
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JASON D LANDRY · (Male)

NPI # 1114135829
Status Active
Credentials MD
Entity Individual
Enumeration date 05/18/2007
Last updated 02/03/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 201261
  • LA Medicaid 1238376
  • LA Other P00808639 RR MEDICARE
Hospital affiliation(s)
  • IBERIA GENERAL HOSPITAL AND MEDICAL CENTER - (Acute Care)
    2315 E MAIN STREET
    NEW IBERIA, LA 70562
  • OUR LADY OF LOURDES REGIONAL MEDICAL CENTER INC - (Acute Care)
    4801 AMBASSADOR CAFFERY PARKWAY
    LAFAYETTE, LA 70508
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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