Provider Demographics
NPI:1366041881
Name:LANDRY, DONNA LYNN
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:LYNN
Last Name:LANDRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3232A HIGHWAY 308
Mailing Address - Street 2:
Mailing Address - City:NAPOLEONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70390-9102
Mailing Address - Country:US
Mailing Address - Phone:985-324-9075
Mailing Address - Fax:
Practice Address - Street 1:3232A HIGHWAY 308
Practice Address - Street 2:
Practice Address - City:NAPOLEONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70390-9102
Practice Address - Country:US
Practice Address - Phone:985-324-9075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide