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:
Health care specialties
| Specialty | Code | License # | 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 16 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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