Provider Demographics
NPI:1346422102
Name:LANDRY, ERIN D
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:D
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 1:309 DORCEY RD
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70563-0932
Mailing Address - Country:US
Mailing Address - Phone:337-280-8582
Mailing Address - Fax:337-237-3052
Practice Address - Street 1:302 DULLES DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-3008
Practice Address - Country:US
Practice Address - Phone:337-262-1228
Practice Address - Fax:337-237-3052
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator