| Landers Internal Medicine, Llc | |
|
507 Evergreen Dr Mandeville LA 70448-7574 | |
| (985) 778-6122 | |
| Not Available |
| Full Name | Landers Internal Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 507 Evergreen Dr, Mandeville, Louisiana |
| Authorized Official Name and Position | Joseph D. Landers (OWNER) |
| Authorized Official Contact | 9857786122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Landers Internal Medicine, Llc Po Box 283 Mandeville LA 70470-0283 Ph: (985) 778-6122 | Landers Internal Medicine, Llc 507 Evergreen Dr Mandeville LA 70448-7574 Ph: (985) 778-6122 |
| NPI Number | 1790082204 |
|---|---|
| Provider Enumeration Date | 02/17/2011 |
| Last Update Date | 02/17/2011 |
| Medicare PECOS PAC ID | 5991987810 |
|---|---|
| Medicare Enrollment ID | O20110314000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790082204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 023138 (Louisiana) | Primary |
| Provider Name | Joseph D Landers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356358485 PECOS PAC ID: 5597864363 Enrollment ID: I20070619000497 |
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