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Ms. Donna M Landry, PHYSICIANASSISTANT
Medical Physician Assistant in Olympia, Washington
NPI 1366523490

Donna M Landry is a Medical Physician Assistant based in Olympia, WA and is specialized in Medical. Donna M Landry practices in Olympia, WA and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Donna M Landry is 1366523490 and holds a License No. PA10002558 (Washington).

The current practice location address for Donna M Landry is 1603 Cooper Point Rd Nw, Olympia, WA and can be reached out via phone at 360-753-0396 and via fax at 360-539-7937.

Location: 1603 Cooper Point Rd Nw, Olympia, WA, 98502-8325
person
Provider Profile Details
NPI Number
1366523490
Provider Name
Donna M Landry
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
1603 Cooper Point Rd Nw, Olympia, WA, 98502-8325
Phone Number
360-753-0396
Fax Number
360-539-7937
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5617199 01 AETNA NON HMO
OA10000203 01 WASH ST LICENSE
3568326 01 AETNA HMO
O198234 01 LABOR & INDUSTRIES
2007LA 01 REGENCE
A1820 01 PREMERA BC
institution
Provider Business Practice Location Address Details
Address
1603 Cooper Point Rd Nw
City
State
Zip
98502-8325
Phone Number
360-753-0396
Fax Number
360-539-7937
person
Provider Business Mailing Address Details
Address
1603 Cooper Point Rd Nw
City
State
Zip
98502-8325
Phone Number
360-753-0396
Fax Number
360-539-7937
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA10002558 (Washington)
Definition
Definition to come...
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