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Blake C. Landry, MD
Specialist in Slidell, Louisiana
NPI 1417953597

Blake C. Landry is a Specialist based in Slidell, LA. Blake C. Landry practices in Slidell, LA and has the professional credentials of MD. The NPI Number for Blake C. Landry is 1417953597 and holds a License No. 022661 (Louisiana).

The current practice location address for Blake C. Landry is 2365 Gause Blvd E Ste E, Slidell, LA and can be reached out via phone at 985-643-1194 and via fax at 985-643-8869.

Location: 2365 Gause Blvd E Ste E, Slidell, LA, 70461-4142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417953597
Provider Name
Blake C. Landry
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2365 Gause Blvd E Ste E, Slidell, LA, 70461-4142
Phone Number
985-643-1194
Fax Number
985-643-8869
Provider Enumeration Date
06/23/2005
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
720847461 0009 01 LA CIGNA
153236130118 01 LA HUMANA
0005507718 01 LA AETNA
1494895 05 LA
institution
Provider Business Practice Location Address Details
Address
2365 Gause Blvd E Ste E
City
Slidell
State
Louisiana
Zip
70461-4142
Phone Number
985-643-1194
Fax Number
985-643-8869
person
Provider Business Mailing Address Details
Address
2365 Gause Blvd E Ste E
City
Slidell
State
Louisiana
Zip
70461-4142
Phone Number
985-643-1194
Fax Number
985-643-8869
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
022661 (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
022661 (Louisiana)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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