Jon Lawson Landeen, MD is a
Obstetrics & Gynecology physician based in Moab, Utah. Jon Lawson Landeen is licensed to practice in Utah (license number 1522641205) and his current practice location is 719 W 400 N, Moab, Utah. He can be reached at his office (for appointments etc.) via phone at
(435) 259-7191.
NPI number for Jon Lawson Landeen is 1205890928 and his current mailing address is 400 E 10th St, Waconia, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205890928.
Physician's Profile
| Full Name | Jon Lawson Landeen |
|---|
| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 719 W 400 N, Moab, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205890928
- Provider Enumeration Date: 04/12/2006
- Last Update Date: 04/29/2008
Medical Identifiers
Medical identifiers for Jon Lawson Landeen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205890928 | NPI | - | NPPES |
| 04295 | Medicaid | UT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 1522641205 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jon Lawson Landeen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jon Lawson Landeen, MD
400 E 10th St,
Waconia, MN 55387-4552
Ph: (952) 442-9770 | Jon Lawson Landeen, MD
719 W 400 N,
Moab, UT 84532-2239
Ph: (435) 259-7191 |
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