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Dustin Thomas Landgrave, DO
Student in an Organized Health Care Education/Training Program in Kenner, Louisiana
NPI 1588314892

Dustin Thomas Landgrave is a Student in an Organized Health Care Education/Training Program based in Lafayette, LA. Dustin Thomas Landgrave practices in Kenner, LA and has the professional credentials of DO. The NPI Number for Dustin Thomas Landgrave is 1588314892 and holds a License No. (Louisiana).

The current practice location address for Dustin Thomas Landgrave is 200 W Esplanade Ave Ste 412, Kenner, LA and can be reached out via phone at 504-464-2940 and via fax at 504-464-2941.

Location: 200 W Esplanade Ave Ste 412, Kenner, LA, 70508-8164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588314892
Provider Name
Dustin Thomas Landgrave
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
200 W Esplanade Ave Ste 412, Kenner, LA, 70508-8164
Phone Number
504-464-2940
Fax Number
504-464-2941
Provider Enumeration Date
03/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 W Esplanade Ave Ste 412
City
Kenner
State
Louisiana
Zip
70065-2475
Phone Number
504-464-2940
Fax Number
504-464-2941
person
Provider Business Mailing Address Details
Address
200 W Esplanade Ave Ste 412
City
Kenner
State
Louisiana
Zip
70065-2475
Phone Number
504-464-2940
Fax Number
504-464-2941
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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