Provider Demographics
NPI:1114059938
Name:LANDERS, STEVEN WILLIAM
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:WILLIAM
Last Name:LANDERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 GIUFFRIAS AVE APT B
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-6639
Mailing Address - Country:US
Mailing Address - Phone:318-623-0051
Mailing Address - Fax:
Practice Address - Street 1:4400 DAUPHINE ST
Practice Address - Street 2:BLDG 603-1C
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70146-0001
Practice Address - Country:US
Practice Address - Phone:504-943-1486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other