Landry, Nicole Leanne

Landry, Nicole Leanne is an individual health care provider with primary practice located at 1718 E Kessler Blvd , Longview WA 98632-1842. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Landry, Nicole Leanne can be contacted via phone (360) 747-5800.

Contact Information

Primary practice address
1718 E Kessler Blvd Longview WA 98632-1842
Fax: (360) 575-3846
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5875 - 851 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60855874 Washington

Profile Details

NPI number 1891178653
LBN Legal business name Landry, Nicole Leanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2015
Last updated Dec 16th, 2024 - about 2 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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