Blake C. Landry is a Specialist in Slidell, Louisiana. Blake C. Landry practices all healthcare services and medical treatments related to Specialist. The NPI Number for Blake C. Landry is 1417953597. The last update date is 2007-07-08.
Blake C. Landry's current location address is 105 Medical Center Dr, Slidell, Louisiana. You can contact this provider via phone number 9856433100 and fax number 9856413777. The mailing address for Blake C. Landry is 105 Medical Center Dr, Slidell, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blake C. Landry |
|---|---|
| Address | 105 Medical Center Dr, Slidell, Louisiana |
| Phone Number | 9856433100 |
| Fax Number | 9856413777 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417953597 |
|---|---|
| Provider Enumeration Date | 2005-06-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 105 Medical Center Dr |
|---|---|
| City | Slidell |
| State | Louisiana (LA) |
| Post Code | 7046155370 |
| Phone Number | 9856433100 |
| Fax Number | 9856413777 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 22661 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1494895 | LA | -- | |
| 720847461 0009 | LA | CIGNA | |
| 5507718 | LA | AETNA | |
| 153236130118 | LA | HUMANA |
Post Comment/ Review Below
What is the unique identifier code issued to Blake C. Landry by the Centers for Medicare & Medicaid Services?
The Blake C. Landry has been assigned the NPI (National Provider Identifier) 1417953597. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Blake C. Landry is geographically located?
The Blake C. Landry is physically situated at the following location: 105 Medical Center Dr, Slidell, LA, 7046155370.
What is Blake C. Landry's area of expertise and its corresponding taxonomy classification?
The Blake C. Landry's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1417953597 to Blake C. Landry?
The Blake C. Landry received its 1417953597 assignment from the Centers for Medicare & Medicaid Services on 2005-06-23.
As of what date were the details pertaining to Blake C. Landry last refreshed?
The information related to the Blake C. Landry, including its address, specialty, and other relevant details, was last updated on 2007-07-08.